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
Flank pain is not typically associated with a bowel obstruction. It is more commonly associated with kidney problems.
Choice B rationale
Watery diarrhea is not typically a symptom of bowel obstruction. Bowel obstruction usually causes constipation and inability to pass gas or stool.
Choice C rationale
Fecal vomiting is a serious symptom that can occur in severe cases of bowel obstruction. It indicates a significant blockage in the digestive tract that needs immediate medical attention.
Choice D rationale
Occult blood in the stool can be a symptom of many conditions, including bowel obstruction. However, it is not the most concerning symptom in this context.

A. Famotidine B. Levothyroxine C. Furosemide D. Acetaminophen

Correct Answer is D

Explanation

Choice A rationale
Famotidine is a histamine-2 blocker used to decrease the amount of acid the stomach produces. It is not typically associated with liver disease.
Choice B rationale
Levothyroxine is a thyroid hormone used to treat hypothyroidism. It is not typically associated with liver disease.
Choice C rationale
Furosemide is a diuretic used to treat fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome. It is not typically associated with liver disease.
Choice D rationale
Acetaminophen is a common over-the-counter medication used to relieve pain and reduce fever. However, high doses or long-term use of acetaminophen can cause liver damage.

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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

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