When assessing the abdomen, which assessment technique is used last?

percussion

auscultation

palpation

inspection

Answer and Explanation

The Correct Answer is C

A. Percussion: Percussion is typically performed before palpation. It helps to detect differences in density of abdominal contents, fluid presence, and gas patterns.

B. Auscultation: Auscultation is performed before any palpation or percussion to prevent altering bowel sounds. It is typically the second step after inspection.

C. Palpation: Palpation is used last during an abdominal assessment to prevent altering the characteristics of bowel sounds and to ensure that any tenderness or abnormal masses are identified after a thorough initial assessment. Palpation can cause changes in bowel sounds and tenderness.

D. Inspection: Inspection is always the first step in any physical examination. It allows for a visual assessment of the abdomen, looking for distension, asymmetry, and skin changes.

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Correct Answer is A

Explanation

A. Ongoing assessment: Ongoing assessments are continuous evaluations performed throughout the nurse's shift to monitor the client's status, response to interventions, and to adjust the care plan as needed.

B. Focused assessment: A focused assessment is targeted on a specific problem or area of concern, rather than a general or comprehensive evaluation.

C. Emergency assessment: An emergency assessment is rapid and focuses on identifying life-threatening conditions or urgent needs. It is not a routine, ongoing assessment.

D. Comprehensive assessment: A comprehensive assessment is an in-depth evaluation of the client's overall health status, usually performed upon admission or during initial evaluation. It is not typically repeated throughout the shift.

A. Parallel play B. Cooperative C. Solitary D. Associative

Correct Answer is A

Explanation

A. Parallel play: Parallel play is typical of toddlers, where they play alongside each other but do not interact or play directly with each other. This is a key stage in social development where they start to notice peers but prefer independent activities.

B. Cooperative play: Cooperative play involves children playing together with a common goal or activity. This type of play is more typical of older preschoolers and school-age children.

C. Solitary play: Solitary play is common in infants and very young toddlers where they play alone and are not engaged with others. By the toddler stage, children often progress to parallel play.

D. Associative play: Associative play involves children interacting and playing together, but not with a structured goal or organization. This typically develops after parallel play, around the preschool age.

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When assessing the abdomen, which assessment technique is used last?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Upon entering the client's room at the beginning of a shift and throughout the shift, the nurse assesses the client. The nurse considers the client's plan of care and response to nursing interventions during the assessments. What type of assessment is the nurse performing?

Correct Answer is A

Explanation

Which type of play is most typical of the toddler stage?

Correct Answer is A

Explanation

The nurse is assessing a client who reports abdominal pain. Which assessment technique will the nurse perform first?

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