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    Health assessment proctored exam( texas university)

    A client reports a new onset of abdominal discomfort to the nurse. What is the most appropriate intervention at this time?

    Explanation & Rationale

    A. Administer standing PRN pain medication: Administering pain medication before performing an assessment may mask critical clinical signs, such as tenderness, guarding, or rebound, which are essential for identifying the underlying cause of abdominal discomfort. Pain control is important but should follow an accurate assessment. B. Reposition the client to the prone position: While repositioning may offer temporary comfort, it does not provide diagnostic information or address the potential underlying cause of abdominal discomfort. Prone positioning is not a standard intervention for new-onset abdominal pain and could even obscure signs during assessment. C. Perform an assessment of the abdomen: The priority action is a thorough abdominal assessment, including inspection, auscultation, palpation, and evaluation of associated symptoms. This provides vital information about bowel sounds, distention, tenderness, or rigidity, which guides further interventions and ensures patient safety. D. Request an order for an abdominal x-ray: Diagnostic imaging may be warranted depending on assessment findings, but requesting tests before performing a clinical assessment is premature. The initial evaluation determines the need, urgency, and type of diagnostic studies, ensuring efficient and appropriate care.

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