Florida State Paramedic Practice Exam

In cases of abdominal injuries, why should the painful quadrant be palpated last?

1. To avoid causing unnecessary pain

2. To accurately assess the extent of injury

3. To prevent patient anxiety

4. Once palpated, the entire abdomen will hurt

The correct answer is: Once palpated, the entire abdomen will hurt

The reasoning behind palpating the painful quadrant last relates to the physiological and psychological responses that can occur during the assessment of abdominal injuries. When you palpate the painful area first, it can trigger a protective response in the patient. This can lead to increased tension and discomfort, potentially resulting in a more general feeling of pain throughout the abdomen as the body reacts to the anticipated pain from touching the injured area. Delaying palpation of the painful quadrant allows for a more thorough examination of the other abdominal areas, which can provide critical information about the injury's extent and help to minimize the patient's discomfort during the assessment process. Ultimately, this method enhances the accuracy of the assessment while ensuring that the patient is more relaxed and better able to communicate their symptoms.