The student nurse is preparing to examine a client who is complaining of left lower quadrant abdominal pain. The experienced nurse is observing the student nurse's abdominal assessment
Which of the following statements by the student nurse would indicate that the student nurse requires further education? Standard Text: Select all that apply. 1. "It is a little cool in our examination room; may I turn up the thermostat?"
2. "I've been told you are experiencing some pain in the lower left area of your abdomen. I will examine that area first.".
3. "I am going to stand on your left side so I can feel your liver better.".
4. "I'm going to place this drape over you so you don't feel too exposed during this examination.".
5. "I am going to place this pillow behind your head and this pillow under your knees.".
2,3
Rationale 1: "It is a little cool in our examination room; may I turn up the thermostat?" The nurse should provide an environment that is warm and comfortable.
Rationale 2: "I've been told you are experiencing some pain in the lower left area of your abdomen. I will examine that area first.". When a client is experiencing abdominal pain, the nurse should examine that area last.
Rationale 3: "I am going to stand on your left side so I can feel your liver better.". Stand on the right side of the client, because the liver and the right kidney are in the right side of the abdomen.
Rationale 4: "I'm going to place this drape over you so you don't feel too exposed during this examination.". Maintain the dignity of the client through appropriate draping techniques.
Rationale 5: "I am going to place this pillow behind your head and this pillow under your knees.". The client should be in a supine position with a small pillow placed beneath the head and knees.
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