The nurse conducts a physical assessment for a client with abdominal pain. Which finding leads the nurse to suspect appendicitis?
a. Severe, steady right lower quadrant (RLQ) pain
b. Abdominal pain that started a day after vomiting began
c. Abdominal pain that increases with knee flexion
d. Marked peristalsis and hyperactive bowel sounds
A
Right lower quadrant pain, specifically at McBurney's point, is characteristic of appendicitis. Usually if nausea and vomiting begin first, the client has a gastroenteritis. Abdominal pain due to appendicitis decreases with knee flexion. Marked peristalsis and hyperactive bowel sounds are not indicative of appendicitis.
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