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Costovertebral angle tenderness exam (CVA tenderness exam) assessment for possible kidney infection. During a head-to-toe nursing assessment in a patient who is suspected to have a kidney infection (pyelonephritis), it is important to perform percussion over the costovertebral angle for tenderness. How do you perform the costovertebral angle tenderness exam? This exam is perform posteriorly on the patient's back. First, you will find the last rib on the back, which is the 12th rib and then the spine. The angle that forms below the 12th rib and spine is the costovertebral angle. After finding the CVA, you will then place your non-dominate hand flat the angle (there are two angles you will perform percussion on, which are located over each kidney...right and left). Then form a fist with your dominate hand and firmly thump your non-dominate hand. Ask the patient if they felt any tenderness or pain. If pain or tenderness was felt at the costovertebral angle then the test is positive and the patient should be further evaluated for a kidney infection (pyelonephritis). More Nursing Assessment Skills: • Removing Gloves Properly and Safely Techni... Notes: http://www.registerednursern.com/cost... NCLEX Renal Lectures: • Renal Nursing Lectures Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: / registerednursern All of our videos in a playlist: • Insulin Onset Peak Duration Mnemonic Nursi... Popular Playlists: NCLEX Reviews: • NCLEX Study Strategies Fluid & Electrolytes: • Fluid and Electrolytes Nursing Nursing Skills: • Nursing Skills Videos Nursing School Study Tips: • Nursing School Study Tips Nursing School Tips & Questions" • Nursing School Tips & Questions Teaching Tutorials: • Teaching Tutorials Types of Nursing Specialties: • Types of Nursing Specialties Healthcare Salary Information: • Healthcare Salary Information New Nurse Tips: • New Nurse Tips Nursing Career Help: • Nursing Career Help EKG Teaching Tutorials: • EKG/ECG Interpretation Personality Types: • Плейлист Dosage & Calculations for Nurses: • Dosage Calculations Nursing Diabetes Health Managment: • Diabetes Health Managment