Abdominal Assessment and Care Quiz

You're performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?

• Inspection, percussion, palpation, auscultation

• Inspection, auscultation, percussion, palpation

• Percussion, palpation, auscultation, observation

• Palpation, percussion, observation, auscultation

You're caring for Beth who underwent a Billroth II procedure (surgical removal of the pylorus and duodenum) for treatment of a peptic ulcer. Which findings suggest that the patient is developing dumping syndrome, a complication associated with this procedure?

• Flushed, dry skin

• Headache and bradycardia.

• Dizziness and sweating.

• Dyspnea and chest pain.

After abdominal surgery, your patient has a severe coughing episode that causes wound evisceration. In addition to calling the doctor, which intervention is most appropriate?

• Irrigate the wound & organs with Betadine

• Cover the wound with a saline-soaked sterile dressing.

• Apply a dry sterile dressing & binder

• Push the organs back & cover with moist sterile dressings.

Jason, a 22 y.o. accident victim, requires an NG tube for feeding. What should you immediately do after inserting an NG tube for liquid enteral feedings?

• Aspirate for gastric secretions with a syringe.

• Begin feeding slowly to prevent cramping.

• Get an X-ray of the tip of the tube within 24 hours.

• Clamp off the tube until the feedings begin.

Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?

• Restrict intake of high-carbohydrate foods.

• Increase fluid intake with meals.

• Increase fat intake.

• Eat three regular meals a day.

Donald is a 61 y.o. man with diverticulitis. Diverticulitis is characterized by:

• Periodic rectal hemorrhage.

• Hypertension and tachycardia.

• Vomiting and elevated temperature.

• Crampy and lower left quadrant pain and low-grade fever.

Claire, a 33 y.o. is on your floor with a possible bowel obstruction. Which intervention is a priority for her?

• Obtain daily weights.

• Measure abdominal girth.

• Keep strict intake and output.

• Encourage her to increase fluids.

Your patient has a GI tract that is functioning, but has the inability to swallow foods. Which is the preferred method of feeding for your patient?

• TPN

• PPN

• NG feeding

• Oral liquid supplements

Your patient is complaining of abdominal pain during assessment. What is your priority?

• Auscultate to determine changes in bowel sounds.

• Observe the contour of the abdomen.

• Palpate the abdomen for a mass.

• Percuss the abdomen to determine if fluid is present.

Katrina is diagnosed with lactose intolerance. To avoid complications with lack of calcium in the diet, which food should be included in the diet?

• Fruit

• Whole grains

• Milk and cheese products

• Dark green, leafy vegetables