The nurse is preparing to examine a patient's abdomen. In which order should the nurse complete this examination?
Choice 1. percussion
Choice 2. inspection
Choice 3. palpation
Choice 4. auscultation
Correct Answer: 2, 4, 1, 3
The sequencing of the assessment is important to obtain the maximum amount of information. Before touching the abdomen, the nurse should first inspect it for symmetry, contour, and general appearance. Next, each quadrant of the abdomen should be auscultated for the presence of bowel sounds. Percussion in each quadrant is the third step. Palpation is the final step. It might result in discomfort, and should be completed last.
You might also like to view...
How does the body protect itself from aspiration of food into the lungs when we eat?
A) The voice box moves down and covers the vocal cords. B) The epiglottis moves to cover the tracheal opening. C) The trachea closes. D) The vocal cords close, preventing aspiration.
Your client tells you that the client's children finally understand that glasses of different shapes can hold the same amount of milk. This is an illustration of which concept?
1. decentering accommodation 2. conservation 3. concrete operations 4. formal operations
A client at 37 weeks' gestation presents with painless vaginal bleeding and no contractions. The nurse suspects this client has:
A) placental abruption. B) ectopic pregnancy. C) placenta previa. D) preterm labor.
An elderly woman's income is minimal and she is only receiving Social Security. She did not finish high school. She is at risk for alterations in health maintenance due to
A) Unpleasant past experience B) Family values C) Motivation D) Knowledge deficit