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After completing the preparations, the nurse assists Claudine to a supine position on the bed.

To assess the symmetry of the abdomen, what action should the nurse take?

- Have the client breathe in and out slowly.
- Ask the client to cough.
- Observe for any visible peristalsis
- Observe the abdomen from two different angles.

1 Answer

4 votes

Final answer:

To assess abdominal symmetry, a nurse should observe the patient's abdomen from two different angles. Additional approaches, like having the patient breathe or cough, can help identify any asymmetries or abnormalities but observing from varying perspectives gives the most accurate assessment of symmetry.

Step-by-step explanation:

To assess the symmetry of the abdomen, a nurse should observe the abdomen from two different angles. The nurse may have the client breathe in and out slowly to see any asymmetry during the respiratory cycle or ask the client to cough to look for any abnormal bulging or movement that may indicate an issue. Observing for any visible peristalsis can also provide information but typically is not a reliable measure for symmetry as peristaltic waves are not always visible and may vary in intensity. Ultimatelyac, looking at the abdomen from the foot of the bed and then from the side can give the nurse the best perspective to make a judgement about symmetry.

The overall aim is to promote clear communication and to ensure the accuracy of diagnosis and care. Other safety protocols, such as reviewing the procedural items aloud with the team and confirming the patient's identity and surgery details, contribute to patient well-being and recovery.

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