NCLEX RN Exam Preview Answers - Nurselytic

Correct Answer: A

Rationale: When percussing over relatively dense organs, such as the liver or spleen, a dull sound is a normal finding due to the organ's density. This occurs because the sound waves produced by tapping on the organ travel through the dense tissue, resulting in a dull sound.
Therefore, the correct action for the nurse in this scenario is to consider a dull sound over the liver as a normal finding. Palpating for an underlying mass (
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B) is not indicated based on the percussion finding alone. Repositioning the hands and repeating the percussion (
Choice
C) may not change the dull sound over the liver. Referring the patient for additional treatment (
Choice
D) without understanding the normal percussion findings over the liver would be premature. Thus, the most appropriate action is to interpret the dull sound as a normal finding.

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