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 A

Explanation

Choice A rationale
Alcohol can irritate the stomach lining and exacerbate the symptoms of gastritis. Therefore, the patient should avoid alcohol to help manage their condition.
Choice B rationale
Eating six small meals each day can help manage gastritis by preventing the stomach from being empty for too long, which can increase stomach acid and irritate the stomach lining. This statement does not require correction.
Choice C rationale
Antacids can help manage the pain associated with gastritis by neutralizing stomach acid. This statement does not require correction.
Choice D rationale
Spicy foods can irritate the stomach lining and exacerbate the symptoms of gastritis. Avoiding spicy foods can help manage the condition. This statement does not require correction.

A. Monitor peripheral pulses every 8 hours B. Measure urine output every 4 hours C. Maintain NPO status D. Ambulate the patient three times daily

Correct Answer is C

Explanation

Choice A rationale
Monitoring peripheral pulses every 8 hours is not typically a priority in the care plan for a patient with acute pancreatitis. While cardiovascular monitoring is important in all patients, it is not specifically related to the management of acute pancreatitis.
Choice B rationale
Measuring urine output every 4 hours can be important in assessing fluid balance and kidney function, but it is not the primary intervention in the care plan for a patient with acute pancreatitis.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a key intervention in the management of acute pancreatitis. This helps to rest the pancreas and reduce the production of digestive enzymes.
Choice D rationale
Ambulating the patient three times daily is generally a good practice for postoperative recovery, but it is not specific to the care of a patient with acute pancreatitis. In the acute phase of pancreatitis, rest is often recommended.

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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

The nurse provides education for a patient about the treatment for acute gastritis. Which patient statement requires correction by the nurse?

Correct Answer is A

Explanation

A nurse is contributing to the care plan for a patient who has acute pancreatitis. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

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