The nurse is working with a parent whose child had a perforation of the appendix. The nurse shares with the parents why appendicitis frequently progresses to perforation in children by saying:
a. "The appendix is usually near the perforation state by the time children will say anything for fear they have done something wrong."
b. "Young children have a thinner appendiceal wall than adults, so they progress to perforation much quicker than adults."
c. "Children tolerate pain much better than adults, so they are in a lot of pain by the time they tell caregivers."
d. "The appendix in children is smaller and therefore much easier to rupture."
B
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A Incorrect. This statement is an incorrect rationale for why appendicitis frequently progresses to perforation in children.
B Correct. Appendicitis frequently progresses to perforation in children because they have a thinner appendiceal wall than adults, so progress from inflammation to perforation is more rapid than in adults.
C Incorrect. This is a false statement because children feel pain similarly to adults.
D Incorrect. Although the appendix may be smaller in a child, this is not the rationale for why appendicitis frequently progresses to perforation.
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