CCRN Nursing Exam Prep - Adult Critical Care

Category - Adult Critical Care Registered Nurse Test Prep

Mr. Tuxen, a 66-year-old male, has been hospitalized as he is increasingly confused and coughing blood. His medical diagnosis is cirrhosis of the liver. While assessing Mr. Tuxen, the nurse understands that the correct technique when doing an abdominal assessment is:

  1. Palpate the most painful area progressing to the least painful parts
  2. Begin with inspection and end with palpation
  3. Follow the sequence of auscultation, inspection, percussion, and palpation
  4. Auscultate the bowel sound first then perform palpation and percussion
Explanation
Answer - B - The correct sequence when doing abdominal examination is inspection, auscultation, percussion, and palpation. The least invasive is done first and the most uncomfortable is done last.
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