A school-age child in an emergency department has a 2-day history of nausea and vomiting and reports severe right lower quadrant pain. A nurse is preparing the child for an appendectomy. Which of the following statements by the child should the nurse find most concerning?

A. "I am hungry and thirsty.": Hunger and thirst are not concerning and may occur after fasting or due to nausea resolution. B. "My belly doesn't hurt anymore.": A sudden decrease in abdominal pain may indicate rupture of the appendix, leading to peritonitis—a life-threatening emergency. C. "I am scared and I want to go home.": This is a common emotional response in children facing surgery and not indicative of a medical emergency. D. "I'm tired and want to take a nap.": Fatigue could result from illness but is less concerning than the potential for appendiceal rupture.