The nurse is assisting a client prepare for a physical examination. What should the nurse direct the client to do before beginning this examination?
1. Remove the shoes
2. Include the spouse
3. Empty the bladder
4. Have a bowel movement
Answer: 3
1. The nurse gives the client time to remove all clothing and put on a gown.
2. Unless requested by the client, or unless the client is a minor, the nurse discourages anyone else in the room, for the client's privacy.
3. Since the nurse will be palpating the abdomen, the client should empty the bladder to prevent discomfort.
4. It is not necessary to ask the client to have a bowel movement prior to an examination.
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