Health Assessment of the Abdomen in Nursing by NgoRN

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Health Assessment of the Abdomen in Nursing

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									Health Assessment of the Abdomen in Nursing
Physical or health assessment of a patients abdomen is
done to determine the state of his gastrointestinal tract. It
involves inspecting, listening to, percussing and palpating his
abdomen and noting the responses acquired from these
activities.


Instructions




1


Prepare your patient for an abdominal assessment. Ask him
to empty his bladder first. Then drape your patient in such a
way that all parts of his body will be covered with the
exception of his abdomen. Position your patient on an
examination table with his hands by his sides and warm your
hands and stethoscope..
2


Inspect your patients abdomen. Look for bumps, bulges or
masses on the stomach area. Check the color of the
abdominal skin and look for wounds. Take note of wavelike
motions on the surface of your patients abdomen as it may
indicate bowel obstruction. Check also for distension by
looking for a bulge in your patients bladder just above the
pubic area.
3


Auscultate or listen to your patients bowels sounds with your
stethoscope. Do this before percussing or palpating your
patients abdomen to avoid false results. Begin by placing
your stethoscope in the right lower quadrant of your patients
abdomen, then the upper right, upper left and lower left.
Allow up to 5 minutes to hear any bowel sounds and take
note of whether they are normal, hyperactive or hypoactive.
4


Percuss and palpate your patients abdomen. Percuss your
patients abdomen to elicit sounds that tell you were his
organs are located and if his bladder is full or not. Palpate
his abdomen gently for pain, masses, fluid accumulation and
size and position of his organs.

								
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