An appropriate technique for a nurse to implement during the assessment of the abdomen is:
A. Assessing painful areas first
B. Auscultating for 5 minutes over each quadrant
C. Positioning the client in a supine position with the arms behind or over the head
D. Palpating masses or organ enlargement deeply and firmly
B
B. To auscultate bowel sounds place the diaphragm of the stethoscope lightly over each of the four abdominal quadrants. Listen 5 minutes over each quadrant before deciding that bowel sounds are absent.
A. Painful areas are assessed last. Manipulation of body part can increase client's pain and anxiety and make remainder of assessment difficult to complete.
C. Placing the arms under the head or keeping knees fully extended can cause the abdominal muscles to tighten. Tightening of muscles prevents adequate palpation.
D. If masses are palpated, note size, location, shape, consistency, tenderness, mobility, and texture.
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