When examining the abdomen of a child, which technique would the nurse use last?
Auscultation
Percussion
Palpation
Inspection
The Correct Answer is C
A. Auscultation: Listening to bowel sounds is performed before palpation or percussion to avoid stimulating or altering gut activity. This provides an accurate assessment of intestinal motility and frequency of bowel sounds.
B. Percussion: Percussion helps assess organ size, fluid, or gas in the abdomen. It is performed after auscultation because tapping can change bowel sounds, potentially interfering with an accurate assessment.
C. Palpation: Palpation is performed last to avoid disturbing the bowel or causing discomfort before auscultation and percussion. Gentle palpation assesses tenderness, masses, and organ size once other noninvasive techniques have been completed.
D. Inspection: Inspection is performed first to evaluate contour, symmetry, skin condition, and visible movements. It does not interfere with subsequent assessment techniques.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Limit the amount of time the infant nurses on each breast: Shortening feeding sessions can lead to incomplete emptying of the breasts, increasing milk stasis and worsening mastitis. Adequate drainage is essential to reduce infection risk and promote healing.
B. Nurse the infant only on the unaffected breast until resolved: Avoiding the affected breast can lead to engorgement, further milk stasis, and prolonged infection. Continuing to feed from both breasts helps maintain milk flow and relieves pressure in the infected area.
C. Completely empty each breast at each feeding or use a pump: Full emptying of the breasts reduces milk stasis, which is a primary factor contributing to mastitis. Frequent and effective milk removal helps resolve inflammation, decreases bacterial proliferation, and supports ongoing lactation.
D. Wear a tight-fitting bra until lactation has ceased: Tight or restrictive bras can compress breast tissue, impair milk flow, and exacerbate mastitis. Loose, supportive bras are recommended to allow adequate drainage and comfort.
Correct Answer is B
Explanation
A. Relaxation: Relaxation techniques involve slowing breathing, loosening muscles, and promoting calmness to reduce pain perception, rather than diverting attention through humor or activities.
B. Distraction: Distraction involves redirecting the patient’s focus away from the painful stimulus. Using humor or engaging the patient in conversation or activities shifts attention, which can reduce the perception of pain during procedures.
C. Imagery: Imagery requires the patient to visualize pleasant or calming scenarios to manage pain, which is an internal cognitive process rather than an external distraction like telling a joke.
D. Thought stopping: Thought stopping involves teaching the patient to consciously interrupt negative or painful thoughts. Telling a joke does not involve actively stopping thoughts but instead diverts attention externally.
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