2024 PN NCLEX Questions Nursing Practice Question
When examining the abdomen, a nurse auscultates before palpating and percussing the abdomen. The nurse performs the assessment in this manner for which reason?
Correct Answer: B
Rationale: Auscultation precedes palpation and percussion during abdominal assessment primarily because palpation and percussion can stimulate peristalsis, potentially altering bowel sounds. This timing ensures that the nurse accurately assesses the bowel sounds without interference.
Option A is incorrect; while minimizing discomfort is important, the primary reason for the order of assessment is related to physiological responses. Option C, while relevant to assessment, does not address the impact of palpation on peristalsis. Option D, although it emphasizes patient comfort, does not reflect the clinical rationale behind the specific order of examination techniques.