100% CORRECT SOLUTIONS|UPDATED VERSION
What is the first step when performing an abdominal assessment? -
ANSWER Inspection
The term used for pain elicited when the nurse pushes down slowly and deeply on the
abdomen and then lifts up quickly is called... - ANSWER Rebound Tenderness
The nurse is planning to assess the abdomen of an adult male client. Before the nurse begins
the assessment, the nurse should . . . - ANSWER ask the client to empty his bladder
The nurse is assessing the bowel sounds of an adult client. After listening to each quadrant,
the nurse auscultates high-pitched, gurgling about 20 times per minute. The nurse should
document this finding as... - ANSWER normal bowel sounds
During a physical examination of an adult client, when should the nurse auscultate the
client's abdomen? - ANSWER After inspection of the abdomen and before palpation
The nurse is planning to assess a client's abdomen for rebound tenderness. The nurse should
. . . - ANSWER palpate while quickly releasing pressure
Rebound tenderness when RLQ palpated; appendicitis - ANSWER McBurney's Sign
Abrupt stopping of breathing when palpating RUQ; gallbladder - ANSWER Murphy's
Sign
1
What is the first step when performing an abdominal assessment? -
ANSWER Inspection
The term used for pain elicited when the nurse pushes down slowly and deeply on the
abdomen and then lifts up quickly is called... - ANSWER Rebound Tenderness
The nurse is planning to assess the abdomen of an adult male client. Before the nurse begins
the assessment, the nurse should . . . - ANSWER ask the client to empty his bladder
The nurse is assessing the bowel sounds of an adult client. After listening to each quadrant,
the nurse auscultates high-pitched, gurgling about 20 times per minute. The nurse should
document this finding as... - ANSWER normal bowel sounds
During a physical examination of an adult client, when should the nurse auscultate the
client's abdomen? - ANSWER After inspection of the abdomen and before palpation
The nurse is planning to assess a client's abdomen for rebound tenderness. The nurse should
. . . - ANSWER palpate while quickly releasing pressure
Rebound tenderness when RLQ palpated; appendicitis - ANSWER McBurney's Sign
Abrupt stopping of breathing when palpating RUQ; gallbladder - ANSWER Murphy's
Sign
1
