Name of the Student: Pino, Melgean Jay L.

Section: BSN 1-A3 Date: 02/12/2022 Score

Name of Clinical Instructor: Ms. Leah Barcenas

ASSESSING THE ABDOMEN

BEFORE PROCEDURE
1. Identify the patient
2. Explain the purpose of the abdominal examination and
answer any questions from the patient.
3. Perform hand hygiene
4. Help the patient undress if needed and provide a patient
gown.
5. Assist the patient to a supine position and expose the
abdomen.
ASSESSING THE ABDOMEN NORMAL FINDINGS DEVIATION FROM NORMAL
1. Inspect the abdomen for skin color, contour., pulsation,
the
umbilicus and other surface characteristics (rashes, No rashes, lesions, masses and scars are present.
lesions, masses and scars)
Skin color is tanned or mid brown.

2. Auscultate all four quadrants of the abdomen for bowel Bowel sounds are active; it means normal, gurgles are
sounds by using the diaphragm of the stethoscope. Use
a
heard.
systematic method.
3. Auscultate the abdomen for vascular sounds by using the Vascular murmurs are head.
bell of the stethoscope.
4. Percuss the abdomen for tones. Lymphatic sounds to percussions are present.
5. Palpate the abdomen lightly in all four quadrants and then
palpate using the deep palpation technique. If the patient No tenderness is in the abdomen.
complains of pain or discomfort in a particular area of
the abdomen, palpate the area last.
6. Palpate for the kidneys on each side of the abdomen. No tenderness is felt in each side of the abdomen and at
Palpate the liver at the right costal border. Palpate for the
spleen at the left costal border
the right and left coastal border.

AFTER PROCEDURE
1. Replace the patient’s gown and assist the patient to
 a comfortable position.
2. Perform hand hygiene
3. Document the findings of the assessment.
RATING RATING
7. Assess for rebound tenderness last if the patient reports
pain by pressing deeply and gently into the abdomen with No tenderness felt.
the hand and fingers downward and then withdrawing the
hand rapidly.
8. Palpate and then auscultate the femoral pulses in the
groin Pulse rate is normal.
Femoral pulses are detectable.