NCLEX-PN

Category - Physiological Adaptation

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The nurse is assessing a 20-year-old client who comes to the emergency room complaining of severe abdominal pain. When assessing the client’s abdominal area, which of the following sequences should be followed by the nurse?

Inspection, auscultation, percussion, palpation
Inspection, palpation, percussion, auscultation
Auscultation, inspection, percussion, auscultation
Inspection, auscultation, palpation, percussion

Explanation

Answer: A - When examining the abdominal area, the nurse should first perform inspection, followed by auscultation, and then percussion. Palpation is the last examination to be done because this technique can induce peristalsis or alter the bowel sounds.

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