A client complains of constipation and gas pains. The nurse ...

[hbsimmons88]

A client complains of constipation and gas pains. The nurse prepares to complete a physical examination of the client's abdomen. What is the best order in which the nurse will complete this assessment of the abdomen on the client?
 
  A) Inspection, palpation, auscultation
  B) Inspection, auscultation, palpation
  C) Auscultation, inspection, palpation
  D) Palpation, auscultation, inspection

Question 2

A nurse is observing a neonate diagnosed with Bell's palsy. Which of the following signs will the nurse notice in the newborn?
 
  A) Paralysis of both sides of the face
  B) Seizures and respiratory distress
  C) Impairment of the sucking mechanism
  D) Drooping of both the eyelids

[izzat]

Answer to Question 1

B
Feedback:
Palpation is done only after inspection and auscultation, to prevent pockets of gas from moving in the intestines and being mistaken for normal bowel sounds.

Answer to Question 2

C
Feedback:
The baby's sucking mechanism may be impaired, requiring special feeding. Facial paralysis or Bell's palsy occurs when the newborn's facial nerves are injured, usually as a result of forceps delivery. If nerve tissue is damaged, paralysis may be permanent. Usually, only one side of the face is affected. The eyelids and mouth may droop on the affected side, but not both sides. Seizures and respiratory distress are usually not seen in infants with Bell's palsy, unless there is an injury to the skull resulting in intracranial hemorrhage during the birth process.