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.In which of the following ways would the nurse accurately document this finding?

Question

Quizplus · Accepted Answer

The finding of pain upon taking a deep breath while palpating the lower border of the liver is indicative of a positive Murphy's sign, which suggests inflammation of the gallbladder or cholecystitis. A positive Blumberg's sign would involve rebound tenderness in the abdomen, while pain at McBurney's point suggests appendicitis. A positive Psoas sign is indicative of irritation of the iliopsoas muscle and may be associated with appendicitis or other inflammatory conditions.

The Nurse Is Performing an Abdominal Assessment on a Client