NUR 101 Adult Health Assessment
Adult Health Assessment-Abdomen, Rectum, Breast, and Axillae
Abdomen, Rectum and Breast and Axillae Assessment
Abdomen and Rectum
Equipment:
1) Stethoscope
2) Centimeter ruler and nonstretchable measuring tape.
3) Marking Pen
Preparation:
1) Use good source of light.
2) Full exposure of the abdomen.
3) Warm hands.
4) Comfortable relaxed position.
5) Divide abdomen in four regions.
Inspection:
1) Observe skin color and surface characteristics. Fine venous
network is often visible.
2) Inspect for bruises and localized discoloration.
3) Assess umbilicus. A bluish periumbilical discoloration
(Cullen sign) suggests intraabdominal bleed.
4) Assess for striae, should be silvery in color.
5) Inspect for lesions and nodules.
6) Inspect for scar, good history indicator.
7) Inspect hair distribution.
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