To elicit CVA tenderness, have the patient sit upright facing away from you or have him lie in a prone position. Place the palm of your left hand over the left CVA, then strike the back of your left hand with the ulnar surface of your right fist (as shown). Repeat this percussion technique over the right CVA. A patient with CVA tenderness will experience intense pain.
- -Gently palpate, inspect both sides for symmetry, edema, and redness
- -An advance practical nurse would then percuss each area