Free BCEN Certified Emergency Nurse (CEN) Practice Question

The correct answer is to obtain immediate surgical consultation. The patient's presentation of sudden severe abdominal pain, nausea, vomiting, and a rigid, board-like abdomen are classic signs of peritonitis, which is often caused by a perforated viscus. This is a surgical emergency that requires immediate evaluation by a surgeon for potential life-saving intervention.

While pain management and IV fluids are important supportive measures, they should not delay definitive treatment. CT scan can be helpful in diagnosis, but in this case, the clinical presentation strongly suggests peritonitis, and waiting for imaging could potentially delay necessary surgical intervention. Administering antibiotics is also important, but should not precede surgical consultation in this acute situation.

Remember, in cases of suspected peritonitis or perforated viscus, time is of the essence, and early surgical involvement is crucial for optimal patient outcomes.