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Chapter 1: Problem 136

The nurse is assessing the abdomen. The nurse knows the best sequence to perform the assessment is: A. Inspection, auscultation, palpation B. Auscultation, palpation, inspection C. Palpation, inspection, auscultation D. Inspection, palpation, auscultation

Short Answer

Expert verified
Answer: The correct sequence for a nurse's abdominal assessment is inspection, auscultation, and palpation.

Step by step solution

01

Understand the importance of the correct sequence

In abdominal assessment, the correct sequence of steps plays a crucial role in ensuring proper evaluation and preventing any alterations in normal findings.
02

Recall the purpose of each assessment method

1. Inspection: Observe the abdomen for any abnormalities, such as scars, rashes, or distention. 2. Auscultation: Listen to the bowel sounds to assess the gastrointestinal system's function. 3. Palpation: Feel the abdomen for any masses, tenderness, or organ enlargement.
03

Determine the ideal sequence for assessment

Inspection should always come first, as it involves observing the abdomen's appearance. This allows the nurse to note any surface issues and gather essential information before moving on to auscultation and palpation. Auscultation comes next, as palpation could potentially alter bowel sounds, making it challenging to assess the gastrointestinal system accurately. Lastly, palpation helps assess the size, symmetry, consistency, and presence of abdominal masses or pain.
04

Select the answer that reflects the correct sequence

Option A (Inspection, auscultation, palpation) is the correct sequence for a nurse's abdominal assessment. The answer is A.

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