NHA Abdomen
-
Upload
cherrie-catingub -
Category
Documents
-
view
109 -
download
0
Transcript of NHA Abdomen
Assessment for Abdomen
The abdomen is bordered superiorly by the costal margins, inferiorly by the symphysis pubis and inguinal canals, and laterally by the flanks. To perform an adequate as-assessment of the abdomen, the nurse needs to understand the anatomic divisions known as the abdominal quadrants, the abdominal wall muscles, and the internal anatomy of the abdominal cavity.
Assessing Health Page 1
Assessment for Abdomen
Assessing Health Page 2
Assessment Procedure Normal Findings Abnormal findingsInspect the skin
- Observe the coloration of the skin.
a. Abdominal skin may be paler than the general skin tone because this skin is so seldom ex-posed to the natural elements.
a. Purple discoloration at the flanks (Grey Turnersign) indicates bleeding within the abdominal wall, possibly from trauma to the kidneys, pancreas, or duodenum or from pancreatitis.b. The yellow hue of jaundice may be more apparent on the abdomen.c. Pale, taut skin may be seen with ascites (significant abdominal swelling indicating fluid accumulation in the abdominal cavity).
Assessment for Abdomen
Validate the abdominal assessment data that you have collected. This is necessary to verify that the data are reliable and accurate. Document the assessment data following the health care facility or agency policy.
Assessing Health Page 3