NR 325 Adult Health Final Exam Concept Reviews

NR 325 Adult Health Final Exam Concept Reviews

Student Name

Chamberlain University

NR-325 Adult Health II

Prof. Name:

Date

NR 325 Adult Health Final Exam Concept Reviews

Name: Jessica Cox
Date: 10/14/2021

Focused Gastrointestinal Physical Assessment

A proper gastrointestinal (GI) physical assessment involves several systematic steps. Begin by positioning the patient supine with knees slightly flexed and the head of the bed slightly elevated. Ensure the bladder is empty prior to assessment. Inspection includes evaluating the abdomen for changes in skin, the appearance of the umbilicus, symmetry, contour, hernias, masses, or observable movements. During auscultation, always perform this step before percussion and palpation. Use the diaphragm of the stethoscope for high-pitched sounds and the bell for low-pitched sounds, listening to all four quadrants starting in the right lower quadrant (RLQ) for at least two minutes. Assess bowel sounds for normal, hypoactive, or hyperactive characteristics.

Percussion helps estimate liver size and detect the presence of fluid, distension, or masses. Begin percussion below the umbilicus in the right midclavicular line and continue upward until dullness is heard. Tympany indicates air, while dullness indicates fluid or masses. Finally, palpation evaluates organs and detects tenderness, masses, or fluids. Start with light palpation using smooth movements, progressing to deep palpation while observing for verbal and non-verbal cues of discomfort.

Procedures and Nursing Responsibilities

Gastrointestinal-Associated Blood Studies

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NR 325 Adult Health Final Exam Concept Reviews