A nurse is collecting data from a client who has been admitted with suspected appendicitis. Which of the following findings is the nurse’s priority to report to the provider?
A.
Temperature 37.8° C (100° F)
B.
Loss of appetite
C.
WBC count 15,000/mm³
D.
Rigid, board-like abdomen
The correct answer and Explanation is :
In the scenario where a nurse is collecting data from a client admitted with suspected appendicitis, the finding that should be prioritized and reported to the provider is:
D. Rigid, board-like abdomen
Explanation:
1. Importance of Abdominal Rigidity:
A rigid, board-like abdomen is a critical sign that the nurse must prioritize. This finding indicates possible peritoneal irritation or the presence of peritonitis, which can occur if an inflamed appendix has ruptured or there is a significant infection in the abdominal cavity. This is a serious condition that requires immediate attention and intervention.
2. Clinical Implications:
When the appendix becomes inflamed, it may eventually lead to a perforation (rupture). The rupture can cause the contents of the intestine to spill into the peritoneal cavity, leading to peritonitis, an inflammation of the peritoneum. A rigid, board-like abdomen is indicative of this inflammation and can signal the onset of a surgical emergency.
3. Comparison with Other Findings:
- A. Temperature 37.8° C (100° F): While a mild fever is common with appendicitis, it is not as immediate or severe as abdominal rigidity. Fever can be a sign of infection but is less urgent than signs of potential perforation.
- B. Loss of appetite: This symptom is consistent with appendicitis but is not as acute or alarming as a rigid abdomen. It is more of a general symptom and does not necessarily indicate an immediate life-threatening condition.
- C. WBC count 15,000/mm³: An elevated white blood cell count is typical in appendicitis and indicates the body’s response to infection. However, while it is relevant for diagnosis, it does not have the same immediate urgency as the physical sign of a rigid abdomen.
Summary:
The finding of a rigid, board-like abdomen suggests a serious complication, such as peritonitis or a perforated appendix, which requires prompt medical intervention. Therefore, this symptom should be reported to the provider immediately to ensure timely management and treatment to prevent further complications.