An older patient is experiencing abdominal discomfort. What should the nurse do when examining this patient's abdominal area? Select all that apply.

1. Warm the hands.
2. Palpate in areas closest to the pain first.
3. Use moderate pressure on the painful area.
4. Auscultate bowel sounds prior to palpation.
5. Examine the abdomen for abnormal peristaltic waves prior to palpation.


1. Warm the hands.
4. Auscultate bowel sounds prior to palpation.
5. Examine the abdomen for abnormal peristaltic waves prior to palpation.

Explanation: 1. When palpating the abdomen of an older person with abdominal discomfort or pain, always begin with warm hands.
2. When palpating the abdomen of an older person with abdominal discomfort or pain, always begin in an area as remote from the area of pain as possible.
3. Moderate pressure on painful areas should not be done, since this could cause unnecessary discomfort for the older patient.
4. Auscultation of bowel sounds should always precede palpation, because palpation may stimulate or alter peristaltic movement.
5. Examination of the abdomen for abnormal peristaltic waves should be done prior to any palpation.

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