The nurse applies pressure over an area of the lower abdomen where the client reports pain. The client denies pain upon palpation but reports pain when the pressure is released. Which action should the nurse implement?
Explanation & Rationale
Choice A rationale Offering to administer a laxative prescribed for PRN use is not appropriate in this situation, as the presence of rebound tenderness suggests a more serious underlying condition, such as appendicitis. Choice B rationale Obtaining a prescription to catheterize the client’s bladder is not indicated, as the symptoms are related to abdominal pain and rebound tenderness, not urinary retention. Choice C rationale Notifying the healthcare provider of the rebound tenderness is the appropriate action, as this finding could indicate a serious condition such as appendicitis. Prompt medical evaluation and intervention are necessary. Choice D rationale Instructing the client in distraction and relaxation techniques may help manage pain, but it does not address the underlying cause of the rebound tenderness. Immediate medical evaluation is required.