Which of the following is the first important step in helping the patient to relax for the complete abdominal examination?
Warm the stethoscope before auscultating
Have the patient bend their knees
Expose only the abdomen for examination
Have the patient empty his/her bladder
The Correct Answer is D
A. Warming the stethoscope: Improves comfort but is not the first step.
B. Bending the knees: Helps relax abdominal muscles but is done after bladder emptying.
C. Exposing only the abdomen: Ensures privacy but does not affect comfort as much as an empty bladder.
D. Emptying the bladder relieves pressure and discomfort, allowing for a thorough and accurate examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Make note of this finding: Delaying action by merely reporting the finding later may compromise patient care.
B. Prepare to remove cerumen: Sudden hearing loss is unlikely to be caused by cerumen buildup without further assessment.
C. Irrigate with rubbing alcohol: This is inappropriate and could harm the ear.
D. Notify the health care provider: Sudden sensorineural hearing loss can be a medical emergency and should be promptly evaluated by the healthcare provider.
Correct Answer is B
Explanation
A. 1 minute: This is not the correct duration for assessing bowel sounds.
B. 2 minutes each quadrant: Bowel sounds should be auscultated for at least 2 minutes per quadrant before determining that they are absent.
C. 5 minutes: Listening for 5 minutes is excessive and typically unnecessary unless there is concern about a complete absence of bowel sounds.
D. 10 minutes: 10 minutes is also too long for auscultation unless specifically indicated by clinical findings, like suspected paralytic ileus.
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