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?

Increased blood pressure

Hyperactive bowel sounds

Bradycardia

Sudden abdominal pain

Answer and Explanation

The Correct Answer is D

Choice A reason:

Increased blood pressure is not typically associated with gastrointestinal perforation; hypotension may be more indicative.

Choice B reason:

Hyperactive bowel sounds may be present in various gastrointestinal conditions, but they are not specific to perforation.

Choice C reason:

Bradycardia is not a typical sign of gastrointestinal perforation; tachycardia may be more indicative of this condition.

Choice D reason:

This statement is correct. Sudden abdominal pain is a key indication of gastrointestinal perforation, and it should be monitored closely.

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Correct Answer is D

Explanation

Choice A reason:

Avoiding chemicals that are toxic to the liver is a valid recommendation for liver health, but it is not specific to preventing hepatitis E virus infection.

Choice B reason:

Limiting alcohol intake is an important measure for maintaining liver health, but it is not a specific prevention measure for hepatitis E virus.

Choice C reason:

Wearing a condom during sexual contact is an important measure to prevent the transmission of certain sexually transmitted infections (STIs), but hepatitis E is primarily transmitted through contaminated water and not through sexual contact.

Choice D reason:

Following proper hand-washing techniques is a crucial preventive measure for hepatitis E virus. This virus is primarily transmitted through the fecal-oral route, often via contaminated water or food. Proper hand hygiene can significantly reduce the risk of transmission.

A. Anticholinergic medications B. Increased fiber intake C. Reduced fat intake D. Fluid reduction E. Enemas on alternating days

Correct Answer is ["A","B"]

Explanation

Choice A reason:

Anticholinergic medications: These are not a component of treatment for diverticular disease. Anticholinergic medications can reduce intestinal motility and cause dry mouth, constipation, and urinary retention, which can aggravate the diverticula and increase the risk of complications. The patient should avoid these medications unless prescribed by a doctor for another condition.

Choice B reason:

Increasing fiber intake is a common component of treatment for diverticular disease as it can help prevent constipation and reduce the risk of diverticulitis.

Choice C reason:

Reducing fat intake is also important in the treatment of diverticular disease, as a low-fat diet can help prevent further irritation of the colon.

Choice D reason:

This is not a component of treatment for diverticular disease. On the contrary, adequate fluid intake is essential to prevent dehydration and constipation, which can worsen the condition. The patient should drink at least eight glasses of water per day or more if they have a high-fiber diet.

Choice E reason:

These are not a component of treatment for diverticular disease. Enemas can irritate the colon and increase the pressure in the diverticula, which can lead to perforation or bleeding. The patient should avoid enemas unless instructed by a doctor for a specific reason.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a health education session, a participant has asked about the hepatitis E virus. What prevention measure should the nurse recommend for preventing infection with this virus?

Correct Answer is D

Explanation

An adult patient has been diagnosed with diverticular disease after ongoing challenges with constipation. The patient will be treated on an outpatient basis. What components of treatment should the nurse anticipate? Select all that apply.

Correct Answer is ["A","B"]

Explanation

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