A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. How should the nurse proceed?

Consider this finding as normal, and proceed with the examination.

Describe this dullness as indicative of an enlarged liver, and refer him to a physician.

Document the presence of hepatomegaly.

Ask additional health history questions regarding his alcohol intake.