A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated?
Flaccid abdomen
Low-grade fever
Absent Rovsing's sign
Sudden decrease in abdominal pain
The Correct Answer is D
The correct answer is D.
Choice A:
Flaccid abdomen is incorrect because a perforated appendix often leads to a rigid, not flaccid, abdomen due to inflammation and irritation of the peritoneum.
Choice B:
Low-grade fever is incorrect as both acute appendicitis and perforation can present with a fever, but it is not specific to perforation. Normal body temperature ranges from 36.1°C to 37.2°C (97°F to 99°F).
Choice C:
Absent Rovsing's sign is incorrect because Rovsing's sign may or may not be present in cases of appendicitis and does not specifically indicate perforation. Rovsing's sign is positive when pain in the right lower quadrant is elicited by palpating the left lower quadrant.
Choice D:
Sudden decrease in abdominal pain. This symptom can indicate that the appendix has ruptured, leading to a temporary relief of pain as the pressure is relieved. However, this is usually followed by an increase in pain and symptoms of peritonitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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