Leadership ATI Proctored Related

Review Leadership ATI Proctored related questions and content

During a physical assessment of adult clients, which of the following techniques should the nurse use?

  • A. Use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for a client experiencing pain.
  • B. Palpate the client's abdomen before auscultating bowel sounds.
  • C. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm.
  • D. Obtain an apical heart rate by auscultating at the third intercostal space to the left of the sternum.
Correct Answer: B

Rationale: Step 1: Palpating the client's abdomen before auscultating bowel sounds is the correct technique during a physical assessment. This sequence is important because palpation can potentially disrupt bowel sounds, leading to inaccurate assessment results.

Step 2: Palpation helps to identify any tenderness, masses, or abnormalities in the abdomen before proceeding to auscultate bowel sounds. This way, any abnormal findings during palpation can be correlated with bowel sound assessment.

Step 3: By following this sequence, the nurse ensures a systematic and accurate assessment of the client's abdomen, which is crucial for detecting any gastrointestinal issues or abnormalities.

In summary, option B is correct because it follows the appropriate sequence of assessment techniques, ensuring a thorough and accurate evaluation of the client's abdomen. Options A, C, and D are incorrect because they do not pertain to the correct sequence or technique for assessing the abdomen during a physical assessment.