The nurse is percussing a client's kidneys as a part of the physical assessment. Which of the following nursing actions displays a need for further instruction regarding performing this assessment technique?
1. Gently strikes the client with the palmar surface of the hand
2. Asks the client to sit on the side of the examination table
3. Focuses the examination at the site of the client's costal vertebral angles
4. Applies the technique to either side of the spine between the last rib and the lumbar vertebrae
Gently strikes the client with the palmar surface of the hand
Rationale: The nurse should make a fist and gently strike the patient with the ulnar surface of the fist in the costal vertebral angle that is formed on either side of the vertebral column between the last rib and the lumbar vertebrae. In order to percuss the kidney, the patient must be lying on one side or be in a sitting position.
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