A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Hypoactive bowel sounds

Reduced abdominal tenderness

Elevated blood pressure

Increased abdominal rigidity

Answer and Explanation

The Correct Answer is D

Choice A reason:

A perforated peptic ulcer can lead to localized peritonitis, which may cause abdominal rigidity and guarding, rather than hypoactive bowel sounds.

Choice B reason:

Reduced abdominal tenderness is not expected in a client with a perforated peptic ulcer. Abdominal tenderness is likely to be present due to inflammation and irritation of the peritoneal lining.

Choice C reason:

Elevated blood pressure is not a typical finding in a client with a perforated peptic ulcer. The client may experience hypotension due to fluid loss and hemorrhage.

Choice D reason:

This statement is correct. A perforated peptic ulcer can cause increased abdominal rigidity due to the inflammation and irritation of the peritoneal lining. The abdomen may feel tense and rigid upon palpation.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Family history and genetic factors are considered significant risk factors for peptic ulcer disease. A positive family history increases the likelihood of developing the condition.

Choice B reason:

Excessive consumption of fresh fruits and vegetables is not a risk factor for peptic ulcer disease. In fact, a diet rich in fruits and vegetables is generally associated with a lower risk of developing peptic ulcers.

Choice C reason:

Regular exercise and maintaining a healthy weight are not considered risk factors for peptic ulcer disease. These factors are essential for overall health but are not directly related to ulcer development.

Choice D reason:

While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

A. Elevated white blood cell count B. Impaired blood clotting C. Increased bilirubin levels D. Elevated serum amylase

Correct Answer is C

Explanation

Choice A reason:

Elevated white blood cell count may indicate inflammation or infection, but it is not directly related to jaundice and dark-colored urine, which are characteristic of increased bilirubin levels.

Choice B reason:

Impaired blood clotting is not directly related to jaundice and dark-colored urine. It may be a concern in liver disease but does not explain the specific manifestations mentioned in the question.

Choice C reason:

This statement is correct. Jaundice and dark-colored urine are indicative of increased bilirubin levels in the blood, which can occur in cholecystitis due to obstruction of the bile ducts.

Choice D reason:

Elevated serum amylase is more associated with pancreatitis rather than cholecystitis. It is not directly related to the clinical manifestations described.

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A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse about the common risk factors for peptic ulcer disease. Which of the following responses should the nurse provide?

Correct Answer is A

Explanation

A client with suspected cholecystitis presents with jaundice and dark-colored urine. Which of the following clinical manifestations should the nurse associate with these findings?

Correct Answer is C

Explanation

A nurse is providing education to a client recently diagnosed with peptic ulcer disease. Which of the following risk factors should the nurse emphasize as contributing to the development of the client's condition?

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A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

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