A 55-year-old male client is admitted to the nursing unit with complaints of abdominal pain that is sharp and burning. The client gives a history of experiencing bloating and gas after eating and heartburn during the night. The client had a colonoscopy done 5 years ago that revealed six polyps, which were removed, biopsied, and found to be negative for cancerous cells. Upon interviewing the client, the nurse notes that the abdominal pain increases when the client eats fried and spicy food, drinks alcoholic beverages, or engages in strenuous activity. The client works as a package delivery carrier for a major parcel company. Picking up packages that weigh 25 to 50 lbs is an expectation of his job. Lately, this has become difficult. The client’s family history is positive for cancer. The client’s mother died from stomach cancer, and the father had prostate cancer that benefited from proton therapy treatments. During the examination of the abdomen, the nurse finds that the client’s abdomen is guarded and distended
a. Associated signs and symptoms may provide diagnostic evidence to support or
rule out a particular origin of pain. What other factors should the nurse consider
when assessing this client?
b. The nurse is teaching a nursing student on how to perform an abdominal
assessment. Explain the order for the abdominal assessment.