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 C
Explanation
A. Tachycardia. – Tachycardia refers to a heart rate above 100 beats per minute, not a slow heart rate.
B. Tachypnea. – Tachypnea describes rapid breathing, not a slow heart rate.
C. Bradycardia. – Bradycardia is a heart rate below 60 beats per minute. It may be normal in athletes but can indicate conduction abnormalities or medication effects in other individuals.
D. Apnea. – Apnea is the absence of breathing, not a slow heart rate.
Correct Answer is D
Explanation
A. Nursing assessment – A nursing assessment is the broader process of gathering patient information, including subjective and objective data, but does not specifically refer to a body system review.
B. Nursing interview – A nursing interview is a method used to gather subjective data from the patient, but it does not systematically review all body systems.
C. Health history – A health history includes past medical conditions, surgeries, and family history but does not systematically assess all body systems.
D. Review of systems – The review of systems (ROS) is a structured approach where the nurse systematically collects data about normal function and any changes in each body system.
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