The nurse is assisting the healthcare provider perform a bimanual examination on an extremely obese client. The healthcare provider is unable to palpate the uterus. Which action is appropriate in this situation?
1. Defer the examination.
2. Schedule an X-ray.
3. Schedule an ultrasound.
4. Ask the client if she has had recent problems.
Correct Answer: 3
In the obese female, it may be difficult to clearly differentiate the uterine structures and an ultrasound may be needed. Obtaining an ultrasound can only be done after consulting with the healthcare provider about the findings. The remaining choices are incorrect for this situation. An X-ray is not the best diagnostic test to review the condition of soft tissue organs and surrounding tissue. Deferring the examination does not meet the needs of the client. Determining the client's recent health history does not meet the needs of the client in having the uterus evaluated.
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