The nurse assesses the client's abdomen. Rank the techniques beginning with the first technique the nurse uses to assess the client's abdomen
1. Palpation
2. Inspection
3. Percussion
4. Auscultation
2, 4, 1, 3
2. The nurse begins with the abdominal inspection to observe for scars, surface movement, color, venous patterns, rashes, stretch marks, and artificial openings such as ostomies. The nurse is especially interested in observing pulsations because it can indicate an abdominal aortic aneurysm.
4. Before touching the client, the nurse auscultates the abdomen in all quadrants to assess bowel sounds.
1. The nurse proceeds to light palpation followed by deep palpation if indicated. Light palpation helps the nurse to identify areas of pain and tenderness and avoids these areas for deep palpation.
3. Finally, the nurse percusses the size of the liver and spleen and the density of the stomach and bowel.
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