The nurse assisting the healthcare provider who is performing a bimanual examination on an extremely obese client. The healthcare provider is unable to palpate the uterus
Which of the following actions would most likely be selected in this situation? 1. Defer the examination.
2. Schedule an X-ray.
3. Schedule an ultrasound.
4. Ask the client if she has had recent problems.
3
Rationale 1: Forgoing an examination as a result of difficulties encountered is not a responsible action. The nurse has a responsibility to utilize other methods available as indicated.
Rationale 2: The use of an X-ray is not the best diagnostic test to review the condition of soft tissue organs and surrounding tissue.
Rationale 3: In an obese female palpation of the uterus may be difficult. An ultrasound would allow for examination of the female reproductive organs.
Rationale 4: The size of the client is the most likely cause of the inability to palpate the uterus. A discussion of recent problems is a part of the assessment but it does not reduce the need to discuss obtaining the ultrasound.
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