What is Hyperresonance abdomen?
Based on the auditory and tactile perception, the notes heard can be categorized as: Tympanitic, drum-like sounds heard over air filled structures during the abdominal examination. Hyperresonant (pneumothorax) said to sound similar to percussion of puffed up cheeks.
How do you perform an abdominal assessment?
With abdominal assessment, you inspect first, then auscultate, percuss, and palpate. This order is different from the rest of the body systems, for which you inspect, then percuss, palpate, and auscultate.
How would you describe abdominal percussion?
The anterior gas-filled abdomen normally has a tympanitic sound to percussion, which is replaced by dullness where solid viscera, fluid, or stool predominate. The flanks are duller as posterior solid structures predominate, and the right upper quadrant is somewhat duller over the liver.
How do you document abdominal percussion?
Documentation of a basic, normal abdominal exam should look something along the lines of the following: Abdomen is soft, symmetric, and non-tender without distention. There are no visible lesions or scars. The aorta is midline without bruit or visible pulsation.
Which finding would the nurse relate to Cushing syndrome during an assessment?
Based on the assessment data, the major nursing diagnoses of the patient with Cushing’s syndrome include:
- Risk for injury related to weakness.
- Risk for infection related to altered protein metabolism and inflammatory response.
- Self-care deficit related to weakness, fatigue, muscle wasting, and altered sleep patterns.
When is percussion Hyperresonant?
Hyperresonant sounds may also be heard when percussing lungs hyperinflated with air, such as may occur in patients with COPD, or patients having an acute asthmatic attack. An area of hyperresonance on one side of the chest may indicate a pneumothorax.