The nurse assessing a client's pain would expect the client to make which statement when describing the abdominal pain associated with appendicitis?

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11ecbb05_c9a2_e902_b433_edcf8265664c_MD0009_00 The appendix is a blind pouch located at the junction of the ileum of the small intestine and the beginning of the large intestine (cecum). When infected or obstructed (foreign body, fecal material, tumor, lymph tissue), the appendix becomes inflamed, causing acute appendicitis. Signs and symptoms of acute appendicitis include the following: Pain: Continuous; begins in the periumbilical region and then moves to the right lower quadrant centering at McBurney's point (one-third of the distance from the right anterior superior iliac spine to the umbilicus) (Option C) Gastrointestinal symptoms: Anorexia, nausea, and vomiting Rebound tenderness and guarding Clients with acute appendicitis attempt to decrease pain by preventing increased intraabdominal pressure (eg, avoiding coughing, sneezing, deep inhalation) and lying still with the right leg flexed. (Option A) Burning pain in the upper abdomen can be due to gastric or duodenal ulcers. If the ulcers are located posteriorly, the client may experience back pain. (Option B) Pain in the left lower quadrant is associated with diverticulitis (often in the sigmoid colon). Other signs and symptoms include a palpable, tender abdominal mass and systemic symptoms of infection (fever, increased C-reactive protein, and leukocytosis with a left shift). (Option D) Pain and tenderness in the epigastric or right upper quadrant of the abdomen that is referred to the right scapula is associated with acute cholecystitis. Clients may also experience indigestion, nausea, vomiting, restlessness, and diaphoresis. Educational objective: Pain associated with acute appendicitis typically begins in the periumbilical region and migrates to the area overlying the appendix (McBurney's point). The client will attempt to decrease pain by lying still with the right leg flexed and preventing increased intraabdominal pressure (eg, avoiding coughing, sneezing, deep inhalation).

The Nurse Assessing a Client's Pain Would Expect the Client