The nurse is caring for a child who was brought to the clinic complaining of severe abdominal pain and is suspected of having acute appendicitis. The child is lying on the examining table, with the knees pulled up toward the chest
The nurse assists the physician with further assessment of the progression of the child's pain, knowing that the physician will palpate the abdomen: 1. Midway between the liver and the gallbladder
2. Midway between the left iliac crest and the umbilicus
3. Midway between the left inguinal area and the acetabulum
4. Midway between the right anterior superior iliac crest and the umbilicus
4
Rationale: McBurney's point is usually the location of greatest pain in the child with appendici-tis. McBurney's point is midway between the right anterior superior iliac crest and the umbilicus. "Midway between the liver and the gallbladder," "midway between the left iliac crest and the umbilicus," and "midway between the left inguinal area and the acetabulum" will not appropri-ately assess the progression of pain in the child with appendicitis.
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