during report the student nurse hears that a patient has hepatomegaly

What are the symptoms of hepatomegaly?

a. Enlarged liver. b. Enlarged spleen. Distended bowel. d. Excessive diarrhea. A) an enlarged liver. The term hepatomegaly refers to an enlarged liver. The term splenomegaly refers to an enlarged spleen. The other responses are not correct. 37.

What is the difference between hepatomegaly and splenomegaly?

The term hepatomegaly refers to an enlarged liver. The term splenomegaly refers to an enlarged spleen. The other responses are not correct. 37. During an assessment the nurse notices that a patient's umbilicus is enlarged and everted. It is midline, and there is no change in skin color.

Which notes does the nurse hear during an abdominal assessment?

The nurse is performing percussion during an abdominal assessment. Percussion notes heard during the abdominal assessment may include: a. Flatness, resonance, and dullness. b. Resonance, dullness, and tympany. c. Tympany, hyperresonance, and dullness. d. Resonance, hyperresonance, and flatness. ANS: C 17 17.

What does the nurse observe while examining the patient?

While examining the patient, the nurse observes abdominal pulsations between the xiphoid and the umbilicus. The nurse would suspect that these are? A patient has hypo-active bowel sounds. The nurse knows that a potential cause of hypo-active bowel sounds is? The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen.

Which sound would the nurse expect to elicit when Percussing the liver?

Dullness is the normal sound heard when percussing tissues that are dense in consistency, such as the liver. Dullness is typically considered an abnormal sound if elicited with percussion over the lungs or the intestines, stomach, or bladder.

How long should the nurse listen before reporting absent bowel sounds?

Using the diaphragm of the stethoscope will allow you to hear high-pitched sounds. Normal bowel sounds are not constant, and so it is important to listen for about a minute over each quadrant. In order to conclude that bowel sounds are absent, one must listen for three to five minutes (and hear nothing).

Which sound should the nurse expect to hear when Percussing a distended bladder?

Dull sound on the right over the liver is expected. On the left, tympany over the gastric air bubble and the splenic flexure of the colon should be heard. Percuss above the pubic symphysis. Dullness on percussion in this area indicates an enlarged uterus or distended bladder.

When assessing the liver of a patient in which quadrant should the nurse Percuss?

Begin palpation over the right lower quadrant, near the anterior iliac spine. Palpate for the liver with one or two hands palm down moving upward 2-3 cm at a time towards the lower costal margin.

What are normal bowel sounds?

Normal: Bowel sound consist of clicks and gurgles and 5-30 per minute. An occasional borborygmus (loud prolonged gurgle) may be heard.

What do high pitched bowel sounds mean?

Hyperactive bowel sounds mean there is an increase in intestinal activity. This may happen with diarrhea or after eating. Abdominal sounds are always evaluated together with symptoms such as: Gas. Nausea.

What is tympany and dullness?

Tympany versus dullness Tympany is typically heard over air-filled structures such as the small intestine and the large intestine. Dullness is typically heard over fluid or solid organs such as the liver or spleen, which can be used to determine the margins of the liver and spleen.

Can you hear ascites?

Assessing for shifting dullness: Percuss from the upper side of his abdomen downward. If ascites is present, the fluid shifts downward, so you'll hear tympany at first, then dullness over the area with fluid.

When do you hear Hyperresonance?

Hyperresonant sounds may also be heard when percussing lungs hyperinflated with air, such as may occur in patients with COPD, or patients having an acute asthmatic attack. An area of hyperresonance on one side of the chest may indicate a pneumothorax. Tympanic sounds are hollow, high, drumlike sounds.

How can you tell if your liver is enlarged?

What are the symptoms of an enlarged liver?Fatigue.Nausea or lack of appetite.Jaundice (yellowing of the skin and eyes).Dark-colored urine and light-colored stools.Itchy skin (pruritis).Enlarged spleen (splenomegaly).

What should you hear when percussing the liver?

There are two basic sounds which can be elicited: Tympanitic (drum-like) sounds produced by percussing over air filled structures. Dull sounds that occur when a solid structure (e.g. liver) or fluid (e.g. ascites) lies beneath the region being examined.

What does mild hepatomegaly mean?

Hepatomegaly is an enlarged liver, which means it's swollen beyond its usual size. Your liver has a lot of important jobs. It helps clean your blood by getting rid of harmful chemicals that your body makes.

Why is a percussion and palpation done before a percussion and palpation?

Auscultation is done before percussion and palpation because percussion and palpation can increase peristalsis, which would give a false interpretation of bowel sounds. 40. During a health history, the patient tells the nurse, "I have pain all the time in my stomach.

What is the average liver span?

The average liver span in the midclavicular line is 6 to 12 cm. Men and taller individuals are at the upper end of this range. Women and shorter individuals are at the lower end of this range. A liver span of 10 cm is within normal limits for this individual.

What should a nurse notice when palpating a patient?

With deep palpation, the nurse should notice the location, size, consistency, and mobility of any palpable organ s and the presence of any abnormal enlargement, tenderness, or masses. 21. The nurse notices that a patient has had a black, tarry stool and recalls that a possible cause would be: A) gallbladder disease.

What is a diastasis recti?

Diastasis recti is a separation of the abdominal rectus muscles, which can occur congenitally, as a result of pregnancy, or from marked obesity. This is assessed by having the patient raise the head while remaining supine. 26. The nurse is reviewing the assessment of an aortic aneurysm.

Where is the bruit located in an aneurysm?

A bruit will be audible, and femoral pulses are present but decreased. Such aneurysms are located in the upper abdomen just to the left of midline. 27. During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen.

Does palpating the liver cause pain?

Normally, palpating the liver causes no pain. In a person with inflammation of the gallbladder, orcholecystitis, pain occurs as the descending liver pushes the inflamed gallbladder onto the examining hand during inspiration (Murphy's test). The person feels sharp pain and abruptly stops inspiration midway. 29.

Where is the appendix located?

The appendix is located in the right lower quadrant , and when the iliopsoas muscle is inflamed (which occurs with an inflamed or perforated appendix), pain is felt in the right lower quadrant. 23. The nurse is assessing the abdomen of an aging adult.