Page 281 - CHHA Binder 2.3.20

4/11/2019

Assessing Apical Pulse

Auscultate apical pulse at the fifth intercostal space and midclavicular line, Note the heart rate and
rhythm, identify S1 and S2, and follow up on any unusual findings with a focused cardiovascular
assessment.

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5.Assement of the Abdomen

 Inspect:
• Abdomen for distension, asymmetry
 Auscultate:
• Bowel sounds (RLQ)
 Palpate:
• Four quadrants for pain and bladder/bowel distension
(light palpation only)

Ask patient

 Check urine output for frequency, color, and odor
 Determine frequency and type of bowel movements

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