The nurse suspects appendicitis in a patient complaining of abdominal pain. Which of the following assessments would cause the nurse to notify the physician?
a. Tympanic, hollow sounds are heard on percussion.
b. Palpation of the abdomen is positive for rebound tenderness.
c. The patient burps after drinking a glass of water.
d. Bowel sounds are hyperactive in the upper quadrants.
ANS: B
Local rebound tenderness (intensification of pain when pressure is released after palpation) in the right lower quadrant of the abdomen is a classic sign of appendicitis.
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