The nurse is about to palpate the client’s abdomen to determine the margins of the liver. The pri-mary reason for using the bimanual palpation method is to:
1. Minimize client discomfort
2. Minimize lower hand desensitivity
3. Assist in manipulation of the organ
4. Facilitate quick assessment of the abdomen
ANSWER
ANS: 2
When using bimanual palpation, relax one hand (sensing hand) and place it lightly over the cli-ent’s skin. Use the other hand (active hand) to apply pressure to the sensing hand. The lower hand does not exert pressure directly and thus remains sensitive to detect organ characteristics. This technique does assist in the effective, efficient assessment of the abdomen, but its primary purpose is directed towards hand sensitivity.
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