Question

The PACU nurse is assessing a postsurgical patient. The patient had abdominal surgery the previous day and has a nasogastric tube. Put in order the correct sequence for performing an accurate assessment of the abdomen.

a. Gently palpate the abdomen.
b. Ask the patient whether they have passed any flatus.
c. Observe for abdominal distention.
d. Turn of suction to the nasogastric tube.
e.Auscultate for bowel sounds in all four quadrants.

Answer 1

The correct sequence for performing an accurate assessment of the abdomen in a postsurgical patient with a nasogastric tube is: turn off suction, auscultate for bowel sounds, ask about flatus, observe for distention, and gently palpate the abdomen.

Step-by-step explanation:

The correct sequence for performing an accurate assessment of the abdomen in a postsurgical patient with a nasogastric tube is as follows:

1. Turn off suction to the nasogastric tube.
2. Auscultate for bowel sounds in all four quadrants.
3. Ask the patient whether they have passed any flatus.
4. Observe for abdominal distention.
5. Gently palpate the abdomen.

By following this sequence, the nurse can systematically assess the patient's abdomen, ensuring a comprehensive evaluation.