When assessing a client's abdomen, the nurse recognizes the importance of reserving palpation as the last technique. The rationale for this practice is that:
1. The pressure it causes can interfere with hearing bowel sounds.
2. The technique is likely to increase the client's level of anxiety.
3. Most clients do not like being touched.
4. Early palpation may result in rebound pain.
The pressure it causes can interfere with hearing bowel sounds.
Rationale: When assessing the abdomen, use palpation last because pressure on the abdominal wall and contents may interfere with bowel sounds and cause pain. Palpation itself does not generally contribute to a client's anxiety. The technique does not cause rebound pain, but can cause general pain in a client's abdomen. While some clients may be uncomfortable with being touched, that is not the reason for delaying the technique until last.
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