The Nurse Is Performing an Abdominal Assessment on a Client

The nurse is performing an abdominal assessment on a client. While the nurse is palpating the lower border of the liver, the nurse asks the client to take a deep breath and hold it. The client complains of a sharp pain located in the right upper quadrant. How will the nurse document this finding in the medical record?

A) Positive Blumberg's sign.
B) Presence of pain at McBurney's point.
C) Positive Murphy sign.
D) Positive psoas sign.