The charge nurse is observing a newly licensed nurse conduct an abdominal assessment on a client admitted with an abdominal mass that is affecting bowel elimination. Which actions by the newly licensed nurse would require the charge nurse to intervene?

Question

Select all that apply.
A) Performing palpation before auscultation
B) Performing auscultation before palpation
C) Using inspection, auscultation, percussion, and palpation during the abdominal assessment of the client
D) Using only inspection, percussion, and palpation during the abdominal assessment of the client
E) Using deep palpation during the assessment process

Answer 1

Answer: A, D, E

Physical examination of the abdomen in relation to bowel elimination problems includes inspection, auscultation, percussion, and palpation. Auscultation should precede palpation, because palpation can alter peristalsis. Never use deep palpation on a client who has an abdominal mass, renal transplant, or polycystic kidneys, or who is at risk for hemorrhage.