Chapter 2. Patient Assessment Show A comprehensive head-to-toe assessment is done on patient admission, at the beginning of each shift, and when it is determined to be necessary by the patient’s hemodynamic status and the context. The head-to-toe assessment includes all the body systems, and the findings will inform the health care professional on the patient’s overall condition. Any unusual findings should be followed up with a focused assessment specific to the affected body system. A physical examination involves collecting objective data using the techniques of inspection, palpation, percussion, and auscultation as appropriate (Wilson & Giddens, 2013). Checklist 17 outlines the steps to take. Checklist 17: Head-to-Toe Assessment
Do you have bowel sounds with a bowel obstruction?Very high-pitched bowel sounds may be a sign of early bowel obstruction.
Which manifestations should the nurse expect to assess in a patient with a small bowel obstruction select all that apply?Patients presenting with abdominal pain, nausea, abdominal distention, vomiting, and/or obstipation/constipation, should be evaluated for a small bowel obstruction (SBO).
What objective signs would be seen in a patient with a small bowel obstruction?The patient with a small bowel obstruction will usually present with abdominal pain, abdominal distension, vomiting, and inability to pass flatus. In a proximal obstruction, nausea and vomiting are more prevalent.
How do you check for bowel obstruction?Tests and procedures used to diagnose intestinal obstruction include:. Physical exam. Your doctor will ask about your medical history and your symptoms. ... . X-ray. To confirm a diagnosis of intestinal obstruction, your doctor may recommend an abdominal X-ray. ... . Computerized tomography (CT). ... . Ultrasound. ... . Air or barium enema.. |