The nurse assesses a young adult female who was brought to the emergency department (ED) by her boyfriend because she has not been feeling well all day and he believes she is getting worse. Which finding supports the nurse's suspicion that the client is experiencing appendicitis?

Choice A reason: Diffuse abdominal pain and elevated neutrophils may suggest infection or inflammation, but they are nonspecific and not diagnostic for appendicitis. Choice B reason: Classic presentation of appendicitis includes initial periumbilical pain that migrates to the right lower quadrant (McBurney’s point), often accompanied by tenderness and guarding. Choice C reason: These symptoms are common in many gastrointestinal conditions and may accompany appendicitis but are not specific enough to confirm the diagnosis. Choice D reason: Sudden anxiety or fear is not a clinical indicator of appendicitis and may suggest a psychological or unrelated medical issue.