The nurse is performing an abdominal assessment. After percussing the abdomen, the nurse notes that the liver span is approximately 9 centimeters. Which of the following ways is an appropriate way to document this finding?
1. Hepatomegaly
2. A normal finding
3. Related to recent diagnosis of chronic bronchitis
4. Presence of ascites
2
Rationale 1: Hepatomegaly would be associated with a liver span greater than 10 centimeters.
Rationale 2: This is a normal finding.
Rationale 3: The client with chronic bronchitis may have a liver that is displaced downward within the abdomen.
Rationale 4: The client with ascites may have a liver that is displaced upward within the abdomen.
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