Complete Shadow Health Abdominal Assessment for Tina Jones from STU NUR504. Full four-quadrant abdominal examination including inspection, auscultation before palpation, percussion and deep palpation. Documents liver span, bowel sounds, tenderness assessment and GERD management in the context of her uncontrolled diabetes.
Open the PDF in Student Hub to audit patient-interview questions against scored subjective items, compare subjective and objective findings, review provider-note documentation, and build document-grounded summaries and flashcards.
Tina Jones presents with epigastric discomfort and upper abdominal pain occurring after meals, consistent with her previously documented GERD. In this module the full abdominal examination is conducted including inspection (abdomen protuberant, no visible masses or pulsations), auscultation of bowel sounds in all four quadrants, percussion for liver span and tympany, and light and deep palpation.
The abdominal assessment in the context of her Type 2 Diabetes is clinically significant — poorly controlled diabetes can lead to gastroparesis, altered gut motility and increased GERD severity. These connections must be documented in the clinical reasoning section.
Bowel sounds normoactive all four quadrants. Liver span within normal limits. No organomegaly. Epigastric tenderness on palpation. Diagnosis: GERD without esophagitis, gastric complications of T2DM.
The Tina Jones Abdominal module usually gives students trouble because sequence matters. You have to inspect first, then auscultate, percuss, and palpate while keeping Tina's GI symptoms and history in mind as you document each finding.
What usually costs students points here is not just missing a finding, but disconnecting the history from the exam. Bowel sounds, tenderness, distention, appetite changes, and abdominal pain need to read like one coherent nursing assessment.
Most students come here trying to figure out what to ask first, what to examine in what order, and how to chart tenderness, bowel sounds, and abdominal findings in a way that sounds clear and clinically correct.
Treat this Tina Jones Abdominal Assessment resource as one clinical sequence. Review the interview, examination, Full abdominal interview transcript, Four-quadrant inspection findings, Auscultation — bowel sounds all quadrants, Percussion — liver span, tympany, and provider documentation together so each conclusion remains connected to GERD without esophagitis — gastric complications of T2DM.
Begin with the transcript and identify which questions produced the scored subjective findings. Separate the opening questions from follow-up prompts that clarify onset, severity, associated symptoms, relevant history, medication response, safety concerns, and effects on daily activity.
Read the objective data beside the history instead of as a separate checklist. Confirm that selected findings such as Full abdominal interview transcript, Four-quadrant inspection findings, Auscultation — bowel sounds all quadrants, Percussion — liver span, tympany support the clinical picture, and note which normal findings help narrow the assessment or rule out competing concerns.
Compare the student and model documentation for organization, clinical wording, completeness, and consistency. Check that the history, examination, assessment, patient education, and follow-up plan describe the same case without adding unsupported assumptions.
After purchase, open the PDF in AI Study Lab to audit interview coverage, review selected subjective and objective data, study the provider-note format, and build focused summaries or flashcards grounded in the purchased document.
Use the included sequence as a study reference, then prepare an independent response that follows your course instructions and clinical judgment.