A child is brought into the ED with suspected appendicitis. What signs and symptoms does the nurse expect to assess? (Select all that apply.)
a. Left lower quandrant pain
b. Guarding
c. Rebound tenderness
d. Decreased C-reactive protein
e. Pain on lifting thigh when supine
ANS: B, C, E
With appendicitis on examination, characteristic tenderness in the right lower quadrant known as McBurney's point will occur. Other diagnostic signs include guarding (tightening of the abdominal muscles or rigidity of the abdomen on palpation); rebound tenderness (pressing the RLQ with rapid release of pressure causes severe pain); pain on lifting the thigh while in the supine position is caused by muscle irritation. C-reactive protein levels will be increased after 12 hours if any infection is present.
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