A client has a visible pulsation in the middle of his abdomen. The assessment technique the nurse should use to assess this pulsation is:
1. Percussion.
2. Light palpation.
3. Moderate palpation.
4. Deep palpation.
Rationale 1: Percussion is used to determine the size and shape of organs and masses and whether underlying tissue is solid or filled with air or fluid.
Rationale 2: Light palpation is used to assess surface characteristics, such as skin texture, pulse, or a tender, inflamed area near the surface of the skin.
Rationale 3: With moderate palpation, the nurse uses the palmar surface of the fingers to determine the depth, size, shape, consistency, and mobility of organs, as well as any pain, tenderness, or pulsations that might be present.
Rationale 4: Deep palpation is used to assess an organ that lies deep within a body cavity.
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