Which does the nurse implement to assess the client's abdomen?
1. Auscultate after percussion.
2. Instruct client to extend the legs.
3. Inspect abdomen before auscultation.
4. Begin with palpation and auscultation.
3
3. For an abdominal assessment, the nurse begins with inspection followed by aus-cultation to prevent accidental stimulation of movement, potentially leading to inac-curate assessment data. With inspection, the nurse observes the abdominal surface for movement, scars, and pulsations; then, the nurse auscultates bowel sounds before potentially stimulating the bowels with palpation or percussion.
1. Auscultation after percussion assesses bowel sounds after percussion and can re-veal misleading assessment data because the percussion can stimulate peristalsis.
2. The nurse has the client bend at the knees to relax the abdominal wall making ab-dominal palpation easier.
4. Palpation never precedes auscultation of the abdomen.
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