The nurse on the medical unit is admitting an older adult client whose primary symptoms include fatigue, pruritus, and pain in the right flank area. When conducting this client's assessment, which technique is the most appropriate?
A) Palpation over the costovertebral angles and flanks
B) Blunt percussion over the costovertebral angles and flanks
C) Palpation of the lower pole of both kidneys
D) Capturing of both kidneys
Answer: B
Blunt percussion in a frail older individual is contraindicated. Instead, palpation of the costovertebral angles and flanks can be used to reveal any pain or tenderness. All other assessments are appropriate.
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