A newly licensed nurse is assessing a patient who reports constant dull pain over the lower abdomen. The nurse inspects, percusses, palpates, and auscultates the patient's abdomen
After leaving the patient's room, the preceptor says, "Your assessment findings may not be accurate.". What is the rationale for the preceptor's statement? 1. The nurse palpated prior to auscultating.
2. The nurse inspected prior to palpating.
3. The nurse inspected prior to auscultating.
4. The nurse percusses before palpating.
1
Rationale 1: Auscultation should follow immediately after inspection because percussion or palpation may increase bowel motility and interfere with sound transmission during auscultation.
Rationale 2: Inspection is performed prior to palpating.
Rationale 3: Inspection is performed prior to auscultation.
Rationale 4: Percussion is performed before palpation.
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a. Hemorrhoids b. Anal fissures c. Reduction of bowel mucus d. Diminished abdominal muscle tone e. Slowed peristalsis
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