A nurse is caring for a client diagnosed with peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
Bradycardia
Hyperactive bowel sounds
Increased blood pressure
Sudden abdominal pain
The Correct Answer is D
A. Bradycardia is not typically associated with gastrointestinal perforation. Instead, tachycardia may be observed due to the body's response to a potential emergency or shock.
B. Hyperactive bowel sounds are not typically associated with gastrointestinal perforation. In fact, bowel sounds may decrease or become absent in severe cases of peritonitis or abdominal emergencies.
C. Increased blood pressure is not typically associated with gastrointestinal perforation. Hypotension may be observed due to hypovolemia resulting from fluid leakage into the peritoneal cavity.
D. Sudden abdominal pain is a key clinical manifestation of gastrointestinal perforation. The perforation of the stomach or intestines allows the contents to leak into the abdominal cavity, leading to peritonitis. Sudden and severe abdominal pain is a hallmark symptom, often described as sharp, stabbing, and constant.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hepatitis A does not infect the kidneys. Hepatitis A is a viral infection that primarily affects the liver, causing inflammation.
B. Manifestations of hepatitis A are indeed similar to flu-like symptoms. Common symptoms include fever, fatigue, nausea, vomiting, abdominal pain, loss of appetite, and jaundice (yellowing of the skin and eyes).
C. The incubation period for hepatitis A is typically 15 to 50 days, not 5 days. The incubation period is the time between exposure to the virus and the onset of symptoms.
D. A family history is not a significant risk factor for acquiring hepatitis A. Hepatitis A is primarily transmitted through the fecal-oral route, often due to contaminated food or water. It is more commonly associated with exposure to the virus through contaminated environments or ingestion of contaminated food or water.
Correct Answer is A
Explanation
A. Obstruction of the bile duct:
Biliary cirrhosis can result from chronic obstruction of the bile ducts, leading to damage to the liver tissue. This obstruction can be due to various causes, such as gallstones or strictures.
B. Hepatotoxic medications:
While certain medications can contribute to liver damage, biliary cirrhosis specifically refers to conditions affecting the bile ducts. Hepatotoxic medications may contribute to cirrhosis but not necessarily biliary cirrhosis.
C. Hepatitis C:
Hepatitis C is a viral infection that primarily affects the liver. While chronic hepatitis C infection can lead to cirrhosis, it is not synonymous with biliary cirrhosis.
D. Excessive alcohol consumption:
Excessive alcohol consumption is a common cause of cirrhosis, but biliary cirrhosis specifically refers to cirrhosis resulting from chronic obstruction of the bile ducts.
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