Question

The nurse is performing an abdominal assessment. After percussing the abdomen, the nurse notes that the liver span is approximately 11 centimeters. How will the nurse document this finding in the medical record?

1) Hepatomegaly
2) A normal finding
3) Related to recent diagnosis of chronic bronchitis
4) Presence of ascites

Answer 1

The nurse should document a liver span of 11 centimeters as a normal finding in the medical record during an abdominal assessment.

Step-by-step explanation:

When recording the findings of an abdominal assessment, the nurse should note the liver span of approximately 11 centimeters as a normal finding. The average liver span in a healthy adult typically ranges from about 6 to 12 centimeters, depending on the individual's size and body type. Documenting this measurement is critical for medical record accuracy to reflect the patient's current health status.