A teen female patient reports intermittent abdominal pain for 12 hours. No dysuria is present. When performing an abdominal assessment, the nurse should
a. Recommend that the patient take more laxatives.
b. Ask the patient about the color of her stools.
c. Avoid sexual references such as possible pregnancy.
d. Assess first the spots that are most tender.
ANS: B
Black or tarry stools (melena) indicate gastrointestinal alteration. The nurse should caution patients about the dangers of excessive use of laxatives or enemas. Determine if the patient is pregnant, and note her last menstrual period. Pregnancy causes changes in abdominal shape and contour. Assess painful areas last to minimize discomfort and anxiety.
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