The nurse is conducting an assessment of a client with right ...

[jilianpiloj]

The nurse is conducting an assessment of a client with right lower quadrant abdominal pain. Which action by the nurse is appropriate when palpating this client's abdomen?
 
  1. Assessing the painful area first using moderate palpation.
  2. Assessing the painful area last using deep palpation.
  3. Assessing the painful area last using light palpation.
  4. Assessing the painful area first using deep palpation.

Question 2

A client has a visible pulsation in the middle of his abdomen. Which assessment technique is appropriate for the nurse to use to assess this pulsation?
 
  1. Percussion.
  2. Light palpation.
  3. Moderate palpation.
  4. Deep palpation.

[kilada]

Answer to Question 1

Correct Answer: 2
Known painful areas of the body are usually the last area to be palpated. The assessment of structures of the abdomen requires moderate to deep palpation. Painful areas are not palpated first. Light palpation is used to evaluate surface characteristics, not the structures of the abdomen. While deep palpation is the appropriate technique, the painful area is examined last.

Answer to Question 2

Correct Answer: 3
With moderate palpation, the nurse uses the palmar surface of the fingers to determine the depth, size, shape, consistency, and mobility of organs, as well as any pain, tenderness, or pulsations that might be present. Percussion is used to determine the size and shape of organs and masses and whether underlying tissue is solid or filled with air or fluid. Light palpation is used to assess surface characteristics, such as skin texture, pulse, or a tender, inflamed area near the surface of the skin. Deep palpation is used to assess an organ that lies deep within a body cavity.

[jilianpiloj]

Correct answers!

[kilada]

Great! Please up vote