The nurse is palpating the left flank area and feels a sharp edge with definite delineated margins. The nurse is most likely palpating which of the following?

1. An enlarged spleen
2. An enlarged kidney
3. The colon
4. A distended bladder


1
Rationale 1: The left kidney and the spleen lie in the left upper quadrant of the abdomen and can be palpated in the flank area if enlarged. An enlarged kidney feels smooth and rounded, whereas an enlarged spleen feels sharper with a more delineated edge.
Rationale 2: The left kidney and the spleen lie in the left upper quadrant of the abdomen and can be palpated in the flank area if enlarged; however, the kidney would feel smooth and rounded if palapated.
Rationale 3: The colon normally cannot be palpated.
Rationale 4: A distended bladder would be palpated in the symphysis pubis area.

Nursing

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