NCLEX-RN

Category - Physiological

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A nurse is assessing a client suspected of appendicitis. The patient complains of severe abdominal pain. As the laboratory tests are being conducted, the nurse should pay particular attention to:

Pain in the left shoulder
Pain in the left lower quadrant of the abdomen
Bluish discoloration around the umbilicus
Absence of pain

Explanation

Answer: D - If the client suspected of appendicitis reports absence or relief of pain, the nurse should take this as a sign of a ruptured appendix. Once the peritoneal lining becomes inflamed and swells, the pain will worsen. Option A is a key finding in cholecystitis. Option C is a manifestation of acute pancreatitis.

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