Wgu rn hesi health assessment proctored exam
While completing an admission assessment for a client with fatigue, weakness, and unexplained weight loss, the nurse notes scleral jaundice. Which finding during percussion of the abdomen should the nurse document indicating hepatomegaly?
Explanation & Rationale
A. Tympany over the liver suggests a hollow sound and is not indicative of hepatomegaly. B. Tympany within the liver region suggests a gas-filled area and would not be associated with hepatomegaly. C. Hepatomegaly, or an enlarged liver, is indicated by a dull percussion sound when tapping the liver area. The dull sound occurs because the liver tissue is more solid compared to the air-filled lungs. D. A hollow sound in the lower abdomen could be from the intestines or other structures but does not suggest liver enlargement.
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