Author Question: A patient in the emergency department is reporting left lower abdominal pain. Which proper order ... (Read 59 times)

vicky · **on:** Jul 22, 2018

A patient in the emergency department is reporting left lower abdominal pain. Which proper order will the nurse follow to perform the comprehensive abdominal examination?

a. Percussion, palpation, auscultation
b. Percussion, auscultation, palpation
c. Inspection, palpation, auscultation
d. Inspection, auscultation, palpation

Question 2

The nurse is assessing an adult patient's patellar reflex. Which finding will the nurse record as normal?

a. 1+
b. 2+
c. 3+
d. 4+

ms_sulzle · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: D
The order of an abdominal examination differs slightly from that of other assessments. Begin with inspection and follow with auscultation. By using auscultation before palpation, the chance of altering the frequency and character of bowel sounds is lessened.

Answer to Question 2

ANS: B
Grade reflexes as follows: 0: No response; 1+: Sluggish or diminished; 2+: Active or expected response; 3+: More brisk than expected, slightly hyperactive; and 4+: Brisk and hyperactive with intermittent or transient clonus.