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?

A. A dull percussion tone outside the costal margins. Hepatomegaly causes the liver to enlarge beyond its normal boundaries, leading to dullness on percussion outside the right costal margin. This is a key finding in conditions affecting the liver, such as hepatitis, cirrhosis, or malignancy. B. Areas of tympany within the liver region. The liver is a solid organ that normally produces a dull sound on percussion. Tympany in the liver region would be an abnormal finding and could suggest bowel gas overlying the liver rather than hepatomegaly. C. Tympany noted bordering the margins of the liver. While tympany may be present in the surrounding intestines, it does not confirm hepatomegaly. The presence of dullness extending beyond the usual liver borders is the most reliable indication of an enlarged liver. D. A hollow sound over the lower abdomen. A hollow or resonant sound (tympany) over the lower abdomen is a normal finding due to the presence of gas in the intestines. This does not provide any specific information regarding liver enlargement.