Question

A nurse is performing an abdominal assessment on a client. identify the sequence of actions the nurse should take. (in order)

Answer 1

A nurse performing an abdominal assessment must follow a sequenced set of actions that include confirming patient information, team introductions, critical events review, clear communication on abdominal anatomy, equipment and count checks, proper labeling of specimens, reflex assessment if indicated, and post-procedure care concerns discussion.

Step-by-step explanation:

The correct sequence of actions for a nurse performing an abdominal assessment should typically include:

1. Confirming the patient's identity, surgical site, and procedure.
2. Introducing all team members by name and role.
3. Reviewing anticipated critical events with the surgeon, anesthesia personnel, and nursing staff.
4. Ensuring clear communication about abdominal regions or quadrants for precise location reporting.
5. Assessing for issues with equipment and ensuring the counts of needles, sponges, and instruments are complete.
6. Verifying that specimens are correctly labeled with the patient's name.
7. Assessing the reflexes of the abdomen if indicated, particularly if thoracic spinal cord damage is suspected.
8. Discussing recovery and care concerns post-procedure.

This systematic approach ensures comprehensive assessment and patient safety, facilitating better patient outcomes and quality of care.