HESI (Health and Environmental Sciences Institute) Health Assessment Practice Test

Question: 1 / 400

What should the nurse consider if percussion over the liver produces a dull sound?

Consider this a normal finding.

When percussion over the liver produces a dull sound, this is actually a normal finding. The liver is a solid organ, and its tissue density causes it to create a dull sound when percussed. In a healthy individual, the liver is located in the right upper quadrant of the abdomen, and the dullness indicates the presence of the liver rather than the usual resonance that may be heard over air-filled organs such as the lungs.

In a health assessment context, recognizing this dull sound is essential, as it helps in evaluating organ structures and in identifying possible abnormalities. For instance, if there were abnormal sounds, such as tympany or hyperresonance, this could suggest underlying issues, including the presence of fluid, masses, or other pathologies, indicating that further investigation might be needed.

Understanding this concept is vital for accurate assessment and interpretation of physical examination findings, as it reinforces the expected physiological characteristics of the organs being examined.

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Palpate this area for an underlying mass.

Reposition the hands and attempt to percuss again.

Consider this an abnormal finding and refer for additional treatment.

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