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Test Bank- Jarvis 3rd - Physical Examination & Health Assessment - Abdomen.(2023-2024)
Typology: Exams
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MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
The nurse should save the examination of any identified tender areas until last. This method avoids pain and the resulting muscle rigidity that would obscure deep palpation later in the examination. Auscultation is performed before percussion and palpation because percussion and palpation can increase peristalsis, which would result in false interpretation of bowel sounds. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and Effective Care Environment: Management of Care
d. Include a drawing of the scar’s location on the abdomen in the documentation. e. Measure and record the length of the scar in the documentation. ANS: B, D, E If a scar is present, the patient should be asked about it, and a drawing of its location and length in centimetres should be included in the patient’s record (Figure 22-10). A surgical scar is an indication of the possible presence of underlying adhesions and excess fibrous tissue. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation