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When assessing a patient with appendicitis how a nurse must initiate to get information?
Question

When assessing a patient with appendicitis how a nurse must initiate to get information?

A.

Tell me how you are feeling

B.

Tell me where is the pain

C.

Tell me relief of pain with what

D.

Tell me whether cough aggravates pain

Correct option is B

In assessment, especially for acute abdominal pain like appendicitis, the first priority is to localize the pain. Identifying the site helps determine if it is periumbilical, shifting to the right lower quadrant (typical in appendicitis). Explanation of each option: • (a) Tell me how you are feeling – Too general. While helpful, it doesn't focus the history toward the key diagnostic area. • (b) Tell me where is the pain – Correct. Localizing the pain is the first step in abdominal pain assessment and is essential for identifying appendicitis. • (c) Tell me relief of pain with what – This is helpful later to assess pain patterns and responses to interventions but not for initial diagnosis. • (d) Tell me whether cough aggravates pain – Rebound tenderness or cough-induced pain are specific signs, but only assessed after pain location is established.

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