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Using deep palpation of a patient's epigastrium, a nurse feels a rhythmic pulsation of the aorta. Based on this finding, what is the nurse's most appropriate response?

a. Auscultate this area using the bell of the stethoscope.
b. Percuss the area for tones.
c. Ask the patient if there is pain in this area.
d. Document this as a normal finding.

User Zmccord
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Final answer:

The nurse's most appropriate response after deep palpation revealing a rhythmic aortic pulsation is to auscultate the area with the bell of the stethoscope. This allows for the detection of abnormal sounds indicating potential vascular abnormalities, such as an abdominal aortic aneurysm.

Step-by-step explanation:

When a nurse feels a rhythmic pulsation of the aorta in the epigastrium during deep palpation, the most appropriate response is to auscultate this area using the bell of the stethoscope. Auscultation is one of the simplest yet effective diagnostic techniques used to assess the state of a patient's heart and circulatory system. Using the stethoscope, the nurse can listen for abnormal sounds that may indicate vascular abnormalities such as an abdominal aortic aneurysm, which could present with a pulsating mass in the epigastric area.

Other examination techniques like percussion may provide additional data, but they are not immediately concerned with the assessment of rhythmic aortic pulsations. Asking the patient about pain is important, but does not directly address the assessment of the pulsation. Lastly, documenting it as a normal finding without further assessment would not be appropriate, as the presence of a pulsating abdominal aorta may suggest underlying pathology that requires further examination and possibly intervention.

User Dan Thomas
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