The main reason that auscultation precedes palpation of the abdomen is to:
prevent distortion of bowel sounds.
prevent distortion of vascular sounds
determine any areas of tenderness or pain
allow the patient to relax and be comfortable
The Correct Answer is A
A. Prevent distortion of bowel sounds. – Palpation can stimulate peristalsis and alter bowel sounds, leading to inaccurate assessment findings.
B. Prevent distortion of vascular sounds. – While palpation might affect vascular sounds slightly, this is not the primary concern when assessing the abdomen.
C. Determine any areas of tenderness or pain. – While assessing for tenderness is important, auscultation precedes palpation primarily to avoid altering bowel sounds.
D. Allow the patient to relax and be comfortable. – While relaxation is beneficial, the sequence of assessment is based on maintaining accuracy in findings rather than patient comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Introduce her/himself. – Introducing oneself establishes a professional relationship, sets the tone for communication, and makes the patient feel acknowledged and comfortable.
B. Communicate trust. – While trust is essential, it is built over time through consistent and reliable care rather than being the first step in the interaction.
C. Provide support. – Providing support is part of therapeutic communication, but it is not the initial step in forming a nurse-patient relationship.
D. Appear interested. – While showing interest is important, the first step is to introduce oneself to establish identity and professional presence.
Correct Answer is A
Explanation
A. Exudate – Exudate is fluid rich in proteins and cells that escapes from blood vessels due to inflammation or injury.
B. Pus – Pus is a thick, yellowish-white exudate containing dead cells and bacteria, specifically associated with infection.
C. Drainage – Drainage is a general term for any fluid leaving the body, including exudate, blood, or serous fluid.
D. Discharge – Discharge is a broader term referring to any material exiting the body, including normal secretions and infectious material.
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