During an examination of the abdomen the nurse should
a. position the patient in the supine position with the bed flat and knees straight.
b. listen in all four quadrants for 1 minute for bowel sounds.
c. use the following order of technique: inspection, auscultation, percussion, palpation.
d. describe bowel sounds as absent if no sound is heard in the LRQ after 2 minutes.
C
The nurse should listen for bowel sounds in all four quadrants for 2 to 5 minutes. For an abdominal examination, the patient should be in the supine position with the knees flexed over a pillow. The order of abdominal examination is inspection, auscultation, percussion, and palpation. Bowel sounds cannot be described as absent until no sound is heard for 5 minutes in each quadrant.
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