{"id":141166,"date":"2024-09-20T13:12:54","date_gmt":"2024-09-20T13:12:54","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=141166"},"modified":"2024-09-20T13:12:56","modified_gmt":"2024-09-20T13:12:56","slug":"a-nurse-is-caring-for-a-client-who-has-peptic-ulcer-disease","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/20\/a-nurse-is-caring-for-a-client-who-has-peptic-ulcer-disease\/","title":{"rendered":"A nurse is caring for a client who has peptic ulcer disease"},"content":{"rendered":"\n<p>A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?<\/p>\n\n\n\n<p>A.<br>Increased blood pressure<\/p>\n\n\n\n<p>B.<br>Hyperactive bowel sounds<\/p>\n\n\n\n<p>C.<br>Bradycardia<\/p>\n\n\n\n<p>D.<br>Sudden abdominal pain<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>D. Sudden abdominal pain<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>Gastrointestinal perforation is a serious complication that can arise from peptic ulcer disease. When an ulcer penetrates through the wall of the stomach or duodenum, it can lead to the leakage of gastric contents into the abdominal cavity, causing peritonitis and other severe complications.<\/p>\n\n\n\n<p><strong>Signs and Symptoms:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Sudden Abdominal Pain:<\/strong> One of the hallmark symptoms of gastrointestinal perforation is the abrupt onset of severe abdominal pain. This pain often starts suddenly and can be localized or diffuse, depending on the extent of the perforation and the subsequent peritoneal irritation. The pain may be sharp and is typically described by patients as the worst pain they have ever experienced. It may also be accompanied by guarding and rigidity of the abdominal muscles due to irritation of the peritoneum.<\/li>\n\n\n\n<li><strong>Other Indicators:<\/strong> While sudden abdominal pain is the primary concern, other signs of perforation may include nausea, vomiting, fever, tachycardia, and signs of sepsis, such as hypotension and altered mental status. The presence of free air under the diaphragm on an X-ray may also indicate perforation.<\/li>\n\n\n\n<li><strong>Differentiation from Other Options:<\/strong><\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Increased Blood Pressure (A):<\/strong> This is not a common sign of perforation; blood pressure may actually decrease due to sepsis or shock.<\/li>\n\n\n\n<li><strong>Hyperactive Bowel Sounds (B):<\/strong> These may be present in less severe gastrointestinal disturbances but are not characteristic of perforation, where bowel sounds may be diminished.<\/li>\n\n\n\n<li><strong>Bradycardia (C):<\/strong> This is not typically associated with gastrointestinal perforation; rather, tachycardia is more common due to pain and potential sepsis.<\/li>\n<\/ul>\n\n\n\n<p>In summary, the sudden onset of severe abdominal pain is a critical indicator of gastrointestinal perforation in clients with peptic ulcer disease, necessitating immediate medical intervention to prevent further complications.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation? A.Increased blood pressure B.Hyperactive bowel sounds C.Bradycardia D.Sudden abdominal pain The correct answer and Explanation is : The correct answer is D. Sudden abdominal pain. 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