When caring for a child with probable appendicitis, the nurse should be alert to recognize that a sign of perforation is:
a. Bradycardia. c. Sudden relief from pain.
b. Anorexia. d. Decreased abdominal distention.
ANS: C
Signs of peritonitis, in addition to fever, include sudden relief from pain after perforation. Tachycardia, not bradycardia, is a manifestation of peritonitis. Anorexia is already a clinical manifestation of appendicitis. Abdominal distention usually increases in addition to an increase in pain (usually diffuse and accompanied by rigid guarding of the abdomen).
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