The nurse is assessing the client's abdomen and notes dullness when percussing over the left lower quadrant. Which of the following questions is most appropriate for the nurse to ask the client at this time?
1. "How much alcohol do you drink?"
2. "Do you have pain after eating?"
3. "When was your last bowel movement?"
4. "Have you ever had splenomegaly?"
3
Rationale 1: Alcohol can place the client at risk for hepatomegaly and inflammation of the liver.
Rationale 2: Pain after eating may indicate that some sort of upper gastrointestinal problem has developed.
Rationale 3: Stool in the distal portion of the client's colon can produce dullness upon percussion of the left lower quadrant.
Rationale 4: Splenomegaly would produce dullness while percussing the left upper quadrant.
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