A nurse is performing a physical assessment on a client who has abdominal pain.
Which of the following techniques should the nurse use to assess the abdomen?
Inspection, palpation, percussion, auscultation
Inspection, auscultation, percussion, palpation
Auscultation, inspection, palpation, percussion
Palpation, auscultation, inspection, percussion
The Correct Answer is B
Inspection, auscultation, percussion, palpation
Rationale: The correct order of techniques for abdominal assessment is inspection, auscultation, percussion, and palpation. This order prevents altering bowel sounds by manipulating the abdomen before listening to them.
Incorrect options:
A) Inspection, palpation, percussion, auscultation - This order may alter bowel sounds by palpating and percussing before auscultating them.
C) Auscultation, inspection, palpation, percussion - This order may miss visual cues by inspecting after auscultating.
D) Palpation, auscultation, inspection, percussion - This order may alter bowel sounds and miss visual cues by palpating before auscultating and inspecting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Inspection, auscultation, percussion, palpation
Rationale: The correct order of techniques for abdominal assessment is inspection, auscultation, percussion, and palpation. This order prevents altering bowel sounds by manipulating the abdomen before listening to them.
Incorrect options:
A) Inspection, palpation, percussion, auscultation - This order may alter bowel sounds by palpating and percussing before auscultating them.
C) Auscultation, inspection, palpation, percussion - This order may miss visual cues by inspecting after auscultating.
D) Palpation, auscultation, inspection, percussion - This order may alter bowel sounds and miss visual cues by palpating before auscultating and inspecting.
Correct Answer is D
Explanation
The client's chest x-ray shows clear lung fields.
Rationale: A chest x-ray is a diagnostic test that can confirm the presence or absence of pneumonia by showing areas of consolidation or infiltration in the lung tissue. A clear chest x-ray indicates resolution of pneumonia and effectiveness of treatment.
Incorrect options:
A) The client's temperature is 37.2°C (99°F). - This is a normal finding, but it does not rule out pneumonia as some clients may have low-grade fever or no fever at all with pneumonia.
B) The client's white blood cell count is 12.5 x 10^9/L. - This is an elevated finding, as the normal range for white blood cell count is 4.5 to 11 x 10^9/L. An elevated white blood cell count indicates inflammation or infection and does not reflect the effectiveness of treatment.
C) The client's oxygen saturation is 95% on room air. - This is a normal finding, as the normal range for oxygen saturation is 95% to 100%. However, it does not indicate the severity or resolution of pneumonia, as some clients may have normal oxygen saturation despite having pneumonia.
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