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

Answer and Explanation

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.

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Correct Answer is D

Explanation

The nurse should ask open-ended questions that cover the characteristics, duration, frequency, severity, precipitating and relieving factors, associated symptoms, and impact of the cough on the client's health and quality of life.

Incorrect options:

A) "How long have you had this cough?" - This is a correct question, but it is not the only question that should be asked.

B) "What do you think is causing your cough?" - This is a correct question, but it is not the only question that should be asked.

C) "How does your cough affect your daily activities?" - This is a correct question, but it is not the only question that should be asked.

A. The client's vital signs are within normal limits. B. The client's skin is warm, dry, and intact. C. The client's bowel sounds are present in all four quadrants. D. All of the above.

Correct Answer is D

Explanation

Rationale: The nurse should document all relevant and objective data obtained from the assessment, including vital signs, skin condition, bowel sounds, and any other findings that reflect the client's health status.

Incorrect options:

A) The client's vital signs are within normal limits. - This is a correct statement, but it is not the only information that should be documented.

B) The client's skin is warm, dry, and intact. - This is a correct statement, but it is not the only information that should be documented.

C) The client's bowel sounds are present in all four quadrants. - This is a correct statement, but it is not the only information that should be documented.

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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?

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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?