The nurse is assessing a client who reports abdominal pain. Which assessment technique will the nurse perform first?
inspection
percussion
palpation
auscultation
The Correct Answer is A
A. Inspection: Inspection is always the first step in any physical examination, including abdominal assessments. It allows the nurse to visually assess the abdomen for distension, asymmetry, discoloration, or other abnormalities.
B. Percussion: Percussion is performed after inspection and auscultation. It helps assess the density of abdominal contents but should not be the first step.
C. Palpation: Palpation is performed last in an abdominal exam to avoid altering bowel sounds and causing discomfort. It should be done after inspection, auscultation, and percussion.
D. Auscultation: Auscultation is typically the second step after inspection to listen for bowel sounds before palpation and percussion, which might alter them.
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Related Questions
Correct Answer is A
Explanation
A. Bend at the knees when picking up an object: This technique helps distribute the weight of the object and reduces strain on the back muscles.
B. Relax her abdominal muscles when she lifts an object: Tensing the abdominal muscles can provide core support, but relaxing them while lifting can increase the risk of injury.
C. Twist at the waist when she moves an object to one side: Twisting at the waist can strain the back muscles and should be avoided.
D. Hold an object away from her body as she lifts it: Holding objects close to the body reduces strain on the back muscles and is a good technique to prevent injury.
Correct Answer is C
Explanation
A. Obesity: While obesity can be linked to a negative self-concept, it is not as closely associated with a "skeletal appearance" as anorexia nervosa.
B. Fad dieting: Fad dieting may indicate concerns about body image, but it does not typically lead to a skeletal appearance and may not necessarily be tied to a deeply negative self-concept.
C. Anorexia nervosa: Anorexia nervosa is characterized by extreme weight loss and a skeletal appearance. It is often associated with a severely negative self-concept and distorted body image, where individuals see themselves as overweight even when they are underweight.
D. Eating fast foods: While this can lead to poor nutritional habits and weight issues, it does not typically lead to a skeletal appearance and is not directly associated with a negative self-concept.
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