Free BCEN Certified Emergency Nurse (CEN) Practice Question

A 14-year-old male presents to the emergency department with a 24-hour history of abdominal pain. The pain started periumbilically and has now localized to the right lower quadrant. He reports nausea and a low-grade fever. Physical examination reveals tenderness at McBurney's point. Which of the following is the BEST next step in management?

  • Obtain a surgical consult

  • Administer IV antibiotics and reassess in 2 hours

  • Give pain medication and order a CT scan of the abdomen

  • Discharge home with instructions to follow up with primary care provider

This question's topic:
BCEN Certified Emergency Nurse (CEN) / 
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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