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Abdominal Examination (Exam) Nursing Assessment | Bowel & Vascular Sounds, Palpation, Inspection



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this is cereth registered nurse Arion

calm and in this video I'm going to

demonstrate how to complete an abdominal

assessment and if you would like to

watch a complete head-to-toe nursing

assessment you can access this card up

here in the corner or in the YouTube

description below access to that video

now before you do this skill you'll want

to provide privacy to the patient

perform hand hygiene and tell the

patient what you will be doing and some

equipment that you will need for this is

a stethoscope so let's get started now

we're going to assess the abdomen and

remember we're switching our sequence

and how we assess we're going to do

inspection auscultation and then

percussion or palpation so we're going

to auscultation second so whenever

you're looking and assessing the abdomen

have the patient lay on their back and

what we're gonna do is we're going to

inspect the abdomen and first we want to

ask Ben are you having any stomach

issues at all no okay and when was your

last bowel movement yesterday morning

and how are you urinating do you have

any pain while you're peeing do have

problems starting a stream any discharge

anything like that okay and with your

male patients you want to ask about that

due to prostate enlargement was starting

a stream and if he was female I would

ask him when his last menstrual period

was and also again ice to be more

patient about urinating and things like

that now if the patient had a Foley this

is the time when you would want to look

at the urine inspect the Foley and look

at that just conglomerate your urinary

system in your GI system together

okay so we're inspecting the abdomen

we're looking at the abdominal contour

and this patients is scaphoid it goes in

a little bit you can also have flat

round it or protuberant and also we're

going to know if there's any pulsations

a lot of times in this area right here

on thin patients like with being I can

see the aortic pulsation in this

patients rod above the umbilicus and

looking at the belly button and checking

for any mass

do we see any hernias or anything like

that also if your patient had any wounds

you wouldn't want to look at that and if

they had a peg tube you wouldn't want to

assess the site make sure it's not red

and ask them how it feels and with your

ostomies with your ostomies you want to

look at the stoma and make sure it is

like a rosy pink color it's not a dusky

cyanotic color and it's not prolapsed

and look and see what type of stool it's

putting out and note that note the smell

note when if the bag needs to be changed

anything like that so now we're ready to

listen to the bowel sounds and what

we're going to do is we're going to

listen with the diaphragm of our

stethoscope and we are going to start in

the right lower quadrant and work our

way clockwise and we're gonna listen all

four quadrants and you should hear five

to thirty sounds per minute and if you

don't hear any bowel sounds you need to

listen for five full minutes and you

need to note are these normal are they

hyperactive or hypo active so let's

listen right lower quadrant we're gonna

move out to the right upper quadrant

move over to the left upper quadrant and

then down to the left lower quadrant

ambassy ons are normal

now we're gonna listen for vascular

sounds and you're gonna do this with the

bell of your stethoscope and we're gonna

listen at the aortic we're gonna listen

at the renal arteries iliac arteries and

you could listen at the femoral already

arteries if you need it to so you're

gonna listen at the aorta artery and

it's a little bit below the xiphoid

process a little bit above the umbilicus

so about right here and we're listening

for like a blowing swishing sound that

which would represent a bruit okay and

none is noted then we're gonna listen at

the right and left renal arteries which

is a little bit down from the aorta

location so here's

right okay none note it and then over

the left then we're gonna listen at the

iliac and it's a little bit below the

belly button right here and this is

Illya Carter II and then listen on the

other side and again like I pointed out

you could listen at the femoral artery

and the groin if you need it too now

we're going to do palpation first we're

going to do light palpation then deep

and being as I do this please tell me if

you feel any pain or tenderness so first

we're gonna do by palpation we'll just

start in the right lower quadrant and

work her way around and you're gonna go

about two centimeters and you're just

feeling for any rigidity any lumps

masses anything like that how's that

feel okay okay now we're gonna do deep

palpation and we're gonna go about four

to five centimeters so a lot more deep

then again you're just feeling for any

masses lumps and then tell me if you

have any tenderness and sometimes you

can do this with two hands if need be if

you're not strong enough [ __ ] me

telling anything feels nice and soft

hurts um belly sounds that's why you do

this after you listen because you

stimulate it good so that wraps up how

to perform an abdominal assessment and

don't forget to check out that video on

the complete head-to-toe nursing

assessment thank you so much for

watching and don't forget to subscribe

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