Which techniques would the nurse use to elicit rebound tenderness in a patient's abdomen? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Start in an area away from the painful area.
2. Start with deep palpation.
3. Release pressure on the abdomen quickly.
4. Stop the assessment as soon as rebound tenderness is elicited.
5. Start the assessment by gently stroking the painful area of the abdomen.
1,3,4
Rationale 1: The nurse should begin this testing in an area distant from the area reported to be painful.
Rationale 2: The nurse should start with light palpation.
Rationale 3: The nurse should release pressure quickly enough so that the underlying tissue "rebounds" against the abdominal wall, causing pain.
Rationale 4: Once the tenderness is noted, there is no reason to keep making the patient uncomfortable.
Rationale 5: The nurse should avoid touching the painful area until the test is in progress.
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