When caring for a child with probable appendicitis, the nurse ...

[K@]

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.

Question 2

Which clinical manifestation would most suggest acute appendicitis?
 
  a. Rebound tenderness
  b. Bright red or dark red rectal bleeding
  c. Abdominal pain that is relieved by eating
  d. Abdominal pain that is most intense at McBurney's point

[ebonylittles]

Answer to Question 1

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).

Answer to Question 2

ANS: D
Pain is the cardinal feature. It is initially generalized and usually periumbilical. The pain localizes to the right lower quadrant at McBurney's point. Rebound tenderness is not a reliable sign and is extremely painful to the child. Abdominal pain that is relieved by eating and bright or dark red rectal bleeding are not signs of acute appendicitis.

[K@]

Thanks for the timely response, appreciate it

[Alyson.hiatt@yahoo.com]

Excellent