Which is the proper sequence of examination for the abdomen?
A) Auscultation, inspection, palpation, percussion
B) Inspection, percussion, palpation, auscultation
C) Inspection, auscultation, percussion, palpation
D) Auscultation, percussion, inspection, palpation
C) Inspection, auscultation, percussion, palpation
The abdominal examination is conducted in a sequence different from other systems, for which the usual order is inspection, percussion, palpation, and auscultation. Because palpation may actually cause some bowel noise when the bowels are not moving, auscultation is performed before percussion and palpation in an abdominal examination.
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Muscle guarding, or tensing of the rectus muscles, during expiration indicates
a. the patient may be anxious. c. possible pyelonephritis. b. bulging of the aorta. d. possible peritonitis.
The home care nurse is evaluating a post–cerebrovascular accident (CVA) client 1 week after returning to the home from a rehabilitation setting. Which of the following statements, made by the client, most concerns the nurse?
A) "I am so happy to be home, but I am not able to go upstairs to my bedroom." B) "I find it difficult to get up so I am remaining in bed until the home health aide comes." C) "My spouse goes to work in the morning and leaves my lunch at my bed stand." D) "A lot of family is coming to see me, which is nice but makes me very tired."
Which ECG findings would the nurse expect in a patient who has both a first-degree heart block and a bundle branch block?
1. An ST segment elevation and a QT interval of < 0.44 second 2. An ST segment elevation and an inverted T wave 3. A PR interval of 0.24 second and a QRS complex width of 0.16 second 4. A QT interval of > 0.44 second and a PR interval of 0.16 second
_______________ penetrate(s) the lines of defense to cause illness
A. Stressors B. Lines of Resistance C. Negentropy D. Pathogens