A nurse is gathering data from a client who has peptic ulcer disease. Which of the following findings is a sign of gastrointestinal perforation?

Bradycardia

Hyperactive bowel sounds

Severe upper abdominal pain

Report of epigastric fullness

Answer and Explanation

The Correct Answer is C

Choice A rationale
Bradycardia, or a slower than normal heart rate, is not typically a sign of gastrointestinal perforation in peptic ulcer disease25.
Choice B rationale
Hyperactive bowel sounds are not typically a sign of gastrointestinal perforation in peptic ulcer disease25.
Choice C rationale
Severe upper abdominal pain is a common sign of gastrointestinal perforation in peptic ulcer disease25. The pain is often sudden and severe, and it may spread to the back or shoulder.
Choice D rationale
A report of epigastric fullness is not typically a sign of gastrointestinal perforation in peptic ulcer disease25.

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Correct Answer is C

Explanation

Choice A rationale
While a sore throat can be a side effect of an upper endoscopy, it is not the priority for monitoring after the procedure.
Choice B rationale
Abdominal bloating can occur after an upper endoscopy, but it is not the priority for monitoring.
Choice C rationale
Monitoring the return of the gag reflex is a priority after an upper endoscopy. The gag reflex may be impaired due to the use of local anesthetics during the procedure. An impaired gag reflex increases the risk of aspiration.
Choice D rationale
Belching can occur after an upper endoscopy, but it is not the priority for monitoring

A. 56-year-old who had a colonoscopy 6 years ago B. 45-year-old who has Clostridium difficile C. 32-year-old who has a sister who died of colon cancer D. 34-year-old who reports a new onset of constipation

Correct Answer is C

Explanation

Choice A rationale
A 56-year-old who had a colonoscopy 6 years ago does not necessarily need a colonoscopy unless there are other risk factors present.
Choice B rationale
A 45-year-old who has Clostridium difficile does not necessarily need a colonoscopy unless there are other risk factors present.

Choice C rationale
A 32-year-old who has a sister who died of colon cancer is at a higher risk for developing colon cancer and should therefore be scheduled for a colonoscopy.
Choice D rationale
A 34-year-old who reports a new onset of constipation does not necessarily need a colonoscopy unless there are other risk factors present.

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A nurse is gathering data from a client who has peptic ulcer disease. Which of the following findings is a sign of gastrointestinal perforation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following?

Correct Answer is C

Explanation

A nurse in a provider’s office is reviewing the health histories of four clients. For which of the following clients should the nurse anticipate scheduling a colonoscopy?

Correct Answer is C

Explanation

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