A. Examines the right upper quadrant (RUQ) of the abdomen last
Incorrect: The sequence for examining the abdomen is inspection, auscultation, percussion, and then palpation. This sequence prevents the increase in intestinal activity and bowel sounds caused by palpation and percussion.
Correct: The client reports pain in the RUQ, so the nurse would examine this area last in the examination sequence. This sequence prevents the client from tensing abdominal muscles because of the pain, which would make the examination difficult.
Incorrect: The client would be positioned supine with the knees bent, while keeping the arms at the sides to prevent tensing of the abdominal muscles.
Incorrect: It is best to inspect the abdomen by standing at the side of the bed and then looking down on the abdomen, and also from the side at eye level.
(this multiple choice question has been scrambled)