The nurse is preparing to assess a patient with a suspected abdominal mass. Which techniques should the nurse use for this assessment?
Select all that apply.
1. Shine a light source across the abdomen.
2. Inspect by standing beside the patient.
3. Inspect from the patient's right side.
4. Inspect for symmetry and visible peristalsis.
5. Ask the patient to deep-breathe and inspect.
Correct Answer: 1, 3, 4, 5
The nurse should inspect the abdomen under a good light source that is shining across the abdomen. The nurse sits at the right side of the patient and notes symmetry, distention, masses, visible peristalsis, and respiratory movements. If masses are detected, the nurse asks the patient to take a deep breath. This reduces the size of the abdominal cavity and makes any abnormality more visible. Inspection is performed by sitting by the patient's right side, where the nurse is in the best position to note conditions and deviations from normal.
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