A nurse is precepting a new graduate nurse on the telemetry unit. The new graduate nurse is preparing to perform an abdominal assessment on a hospitalized client without a history of gastrointestinal abnormalities. The nurse preceptor reminds the new graduate nurse of normal and abnormal findings. Click to indicate whether the findings listed below are normal or abnormal.
Explanation & Rationale
Each category must have at least 1 response option selected Finding Normal Abnormal Tympany to percussion over the intestines ✅ Loose, watery stool ✅ Suprapubic tenderness ✅ A non-palpable spleen ✅ Aortic pulsation in the epigastric area ✅ Decreased bowel sounds ✅ Rationale: Tympany to percussion over the intestines (Normal): Tympany is expected due to the presence of gas in the intestines. Loose, watery stool (Abnormal): This is indicative of diarrhea, which may point to gastrointestinal upset or infection. Suprapubic tenderness (Abnormal): Tenderness in this area may indicate bladder infection, inflammation, or pelvic issues. A non-palpable spleen (Normal): The spleen is generally not palpable in healthy individuals unless it is enlarged (splenomegaly). Aortic pulsation in the epigastric area (Normal): Mild pulsations may be felt in thin or normal-weight individuals. However, a widened or strong pulsation could suggest an abdominal aortic aneurysm. Decreased bowel sounds (Abnormal): Hypoactive or absent bowel sounds may indicate decreased intestinal motility, such as in ileus or peritonitis.