A child is admitted to the pediatric floor for appendicitis. Which assessment finding will the nurse monitor that indicates the appendix has ruptured?
a. Abdominal pain shifts from the left to the right side.
b. Vomiting and diarrhea become more intense.
c. Elevated temperature decreases to normal.
d. Abdominal pain is relieved.
D
Abdominal pain is relieved when appendix rupture occurs. Pain in the right lower quadrant is suggestive of appendicitis. Abdominal pain does not shift from one side to the other. The child with appendicitis may have vomiting and diarrhea. A rupture does not intensify symptoms. Because peritonitis is associated with a ruptured appendix, the temperature would be elevated in the presence of infection.
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a. mouth sore that bleeds easily e. trouble moving jaw b. bad breath f. sore that won't heal c. difficulty chewing g. a lump or swollen lymph node d. difficulty swallowing
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