The nurse finds a positive Blumberg's sign in a client with abdominal pain. Which action does the nurse plan?
a. Have the client be NPO in preparation for surgery.
b. Document this normal finding in the client's record.
c. Immediately auscultate the client's abdo-men for bowel sounds.
d. Repeat the maneuver with the client in a supine position, with the knees flexed.
A
A positive Blumberg's sign (rebound tenderness), an abnormal sign, is indicative of peritoneal inflammation, which commonly accompanies appendicitis. The client should be made NPO in preparation for surgery to remove the appendix. The maneuver should not be repeated with the client in the supine position. The nurse should perform auscultation before percussion for the abdominal assessment.
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