The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment? The nurse should:

A. Examine the tender area first.
B. Examine the tender area last.
C. Avoid palpating the tender area.
D. Palpate the tender area first, and then auscultate for bowel sounds.

When a nurse is examining a patient with right lower quadrant pain, the abdomen is divided into regions or quadrants for more accurate assessment. The nurse should examine the tender area last, beginning with the non-painful regions to avoid patient discomfort. After the examination, auscultation might be conducted using a stethoscope to assess bowel or heart sounds.

Explanation:

In the context of examining a patient experiencing right lower quadrant pain, the nurse should follow specific procedures to ensure an effective and comfortable examination. These procedures involve the division of the abdomen into either nine regions or four quadrants to pinpoint the location of pain or abnormality.

In terms of the correct technique, option B: 'Examine the tender area last' is the recommended method. Nurses, or other health care providers, usually begin the examination from the non-painful or non-tender area to avoid causing discomfort and involuntary muscle guarding that might obscure the palpation findings.

Following the initial examination, they may use a stethoscope for auscultation, listening for any abnormal sounds such as bowel sounds. Auscultation is a diagnostic technique to assess the state of the patient's internal functions, such as the heart or bowel.

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