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Material Type: Notes; Class: Foundations/Caring; Subject: Nursing Registered Assoc. Deg.; University: Cuesta College; Term: Fall 2008;
Typology: Study notes
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When was your last BM What was it like: small/large, hard/soft Have you been passing gas (charted as flatus) Do you feel full or bloated
Character of BMs % of meals taken emesis, especially after meals Physical assessment
Landmarks: Craven p.
Epigastric region Umbilical region
Hypogastric or suprapubic region
Auscultation
Performed before palpation.
Utilizes diaphragm of stethoscope. Bowel
sounds are high pitched.
Begin RLQ - bowel sounds are normally
present here. Proceed to auscultate all four quadrants if necessary.
Bowel Sounds
Palpation
Documentation - examples
States, “I passed gas when I got up this morning.” Bowel sounds hypoactive. Abdomen firm, without tenderness on palpation. Ate 50% clear liquid breakfast without nausea/vomiting. M. Bright SN
States, “My stomach hurts all over. I haven’t had a BM in two days!” Bowel sounds active. Abdomen large, soft, non- tender on palpation. M. Bright SN