A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Hypertension and increased heart rate

Abdominal distention and bloating

Melena (black, tarry stools)

Hyperactive bowel sounds

Answer and Explanation

The Correct Answer is C

Choice A reason:

Hypertension and increased heart rate are not early signs of gastrointestinal bleeding. In fact, hypotension and tachycardia are more common signs of significant blood loss.

Choice B reason:

Abdominal distention and bloating are not typical early signs of gastrointestinal bleeding. These symptoms may occur due to other gastrointestinal issues but are not specific to bleeding.

Choice C reason:

This statement is correct. Melena, or black, tarry stools, is a classic sign of upper gastrointestinal bleeding and indicates the presence of partially digested blood in the stool.

Choice D reason:

Hyperactive bowel sounds are not early signs of gastrointestinal bleeding. Bowel sounds may be hyperactive or hypoactive depending on the severity of the bleeding and associated factors.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Smoking and excessive alcohol intake can irritate the stomach lining and increase the risk of peptic ulcer recurrence. Avoiding these substances is important for promoting healing and preventing further damage.

Choice B reason:

Consuming a high-fat diet is not recommended for peptic ulcer prevention. High-fat foods can stimulate acid production and worsen symptoms for clients with peptic ulcers.

Choice C reason:

Engaging in strenuous exercise immediately after meals is not advisable, as it can increase the risk of acid reflux and worsen symptoms for clients with peptic ulcers.

Choice D reason:

Regular use of NSAIDs can increase the risk of developing peptic ulcers and is not a preventive strategy for clients with a history of peptic ulcer disease.

A. Hypoactive bowel sounds B. Reduced abdominal tenderness C. Elevated blood pressure D. Increased abdominal rigidity

Correct Answer is D

Explanation

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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A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with a history of peptic ulcer disease on preventive strategies. Which of the following instructions should the nurse include to help prevent ulcer recurrence?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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