The nurse is preparing to percuss the abdomen of a patient. Which information indicates that the nurse might need assistance with this assessment?
1. The nurse plans to use a systematic approach for the assessment.
2. The nurse anticipates hearing tympany over stool-filled intestines.
3. The nurse anticipates hearing dullness over the liver.
4. The nurse plans to percuss the spleen, liver, and kidneys.
Correct Answer: 2
The nurse should anticipate hearing tympany over air-filled organs such as gas-filled intestines. Intestines that are stool-filled will sound dull. The nurse should percuss several areas within each quadrant of the abdomen, using a systematic path. The nurse should percuss over the spleen, liver, and kidneys and should anticipate hearing a dull sound over the liver.
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