Superficial palpation of the abdomen is often perceived by the ...

[genevieve1028]

Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation?
 
  a. Palpate another area simultaneously.
  b. Ask the child not to laugh or move if it tickles.
  c. Begin with deeper palpation and gradually progress to superficial palpation.
  d. Have the child help with palpation by placing his or her hand over the palpating hand.

Question 2

Examination of the abdomen is performed correctly by the nurse in which order?
 
  a. Inspection, palpation, percussion, and auscultation
  b. Inspection, percussion, auscultation, and palpation
  c. Palpation, percussion, auscultation, and inspection
  d. Inspection, auscultation, percussion, and palpation

[popopong]

Answer to Question 1

ANS: D
Having the child help with palpation by placing his or her hand over the palpating hand will help minimize the feeling of tickling and enlist the child's cooperation. Palpating another area simultaneously will create the sensation of tickling in the other area also. Asking the child not to laugh or move will bring attention to the tickling and make it more difficult for the child. Superficial palpation is done before deep palpation.

Answer to Question 2

ANS: D
The correct order of abdominal examination is inspection, auscultation, percussion, and palpation. Palpation is always performed last because it may distort the normal abdominal sounds. Auscultation is performed before percussion. The act of percussion can influence the findings on auscultation.