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
Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, is a risk factor for peptic ulcers. These medications can irritate the stomach lining and increase the risk of ulcers.
Choice B rationale
Drinking green tea is not typically associated with an increased risk of peptic ulcers.
Choice C rationale
Consuming spicy foods can exacerbate the symptoms of a peptic ulcer, but it is not a primary risk factor for the development of the condition.
Choice D rationale
A history of bulimia can contribute to a variety of health problems, but it is not a primary risk factor for peptic ulcers. Dumping syndromeDumping syndrome Explore

A. Sweating and pallor B. Bradycardia and indigestion C. Dry skin and stomach pain D. Double vision and chest pain

Correct Answer is A

Explanation

Choice A rationale
Dumping syndrome is a condition that occurs when food moves too fast from the stomach to the duodenum, usually after a surgery to the stomach. Early signs of dumping syndrome include abdominal cramps, diarrhea, nausea, vomiting, flushing, dizziness, and rapid heart rate. One of the late symptoms of dumping syndrome is sweating. Therefore, sweating and pallor can indicate the occurrence of dumping syndrome.
Choice B rationale
Bradycardia and indigestion are not typically associated with dumping syndrome. While digestive issues can occur, they usually manifest as nausea, vomiting, and diarrhea rather than indigestion.
Choice C rationale
Dry skin and stomach pain are not typically associated with dumping syndrome. The primary symptoms of dumping syndrome are related to the digestive system and the body’s response to rapid changes in blood sugar levels.
Choice D rationale
Double vision and chest pain are not typically associated with dumping syndrome. These symptoms may be indicative of other medical conditions and should be evaluated separately

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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 examining the medical record of a patient who has a peptic ulcer. Which of the following factors should the nurse identify as a risk for this condition?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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