The nurse is caring for a client who has a history of peptic ulcer disease and is being admitted to the hospital with clinical manifestations of a perforation. Which finding by the nurse would best Indicate that perforation has occurred?

Numbness in the legs

Rebound tenderness on abdominal palpation

Projectile vomiting of undigested food

Jaundice of the skin and sclera

Answer and Explanation

The Correct Answer is B

B. Rebound tenderness on abdominal palpation: Rebound tenderness, where pain increases upon release of pressure during abdominal palpation, is a classic sign of peritonitis, which can occur due to a peptic ulcer perforation. It indicates irritation of the peritoneum, the lining of the abdominal cavity, which can occur when stomach contents leak into the peritoneal cavity.
A. Numbness in the legs is not typically associated with perforation of a peptic ulcer. Perforation of a peptic ulcer usually presents with localized abdominal symptoms rather than symptoms in the legs.
C. Projectile vomiting of undigested food is not typically associated with perforation of a peptic ulcer. It is more commonly seen in conditions such as pyloric stenosis or gastrointestinal obstruction.
D. Jaundice, a yellow discoloration of the skin and sclera, is not typically associated with perforation of a peptic ulcer.

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Correct Answer is B

Explanation

B. After ESWL for a urinary stone, it is essential to monitor the client's urine characteristics (such as color, clarity, and presence of blood) and output. The presence of hematuria is a common and expected finding after ESWL due to the disruption of tissue and blood vessels during the procedure. Monitoring urine output helps assess renal function and ensures adequate hydration, which is crucial for flushing out stone fragments.
A. While monitoring urine specific gravity can provide information about the concentration of urine, and assessing antigen levels may be relevant in certain contexts, these parameters are not typically the most important information to collect immediately after extracorporeal shock-wave lithotripsy (ESWL) for a urinary stone.
C. While it is important to monitor the surgical site for signs of infection or complications after any procedure, ESWL is a non-invasive procedure performed externally, typically without any incisions.
D. While obtaining clean catch urine specimens for urinalysis and culture may be relevant for assessing urinary tract infection or other urinary abnormalities, it is not typically the most important information to collect immediately after ESWL.

A. Weight gain B. Bloody diarrhea C. Blurred vision D. Constipation

Correct Answer is B

Explanation

B. Ulcerative colitis is a type of inflammatory bowel disease (IBD) characterized by inflammation and ulcers in the inner lining of the colon and rectum. Bloody diarrhea is one of the hallmark symptoms of ulcerative colitis. The inflammation and ulcers in the colon and rectum can lead to rectal bleeding, resulting in bloody stools.
A. Weight gain is not a common symptom of ulcerative colitis.
C. Blurred vision is not a typical symptom of ulcerative colitis. Symptoms of ulcerative colitis primarily involve the gastrointestinal tract, such as abdominal pain, diarrhea (often bloody), urgency to have a bowel movement, and fatigue.
D. Constipation is more commonly associated with other gastrointestinal conditions, such as irritable bowel syndrome (IBS) or certain medications.

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The nurse is caring for a client who has a history of peptic ulcer disease and is being admitted to the hospital with clinical manifestations of a perforation. Which finding by the nurse would best Indicate that perforation has occurred?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has a confirmed urinary stone in the proximal left ureter undergoes extracorporeal shock- wave lithotripsy. What Information is most Important for the nurse to collect after lithotripsy?

Correct Answer is B

Explanation

Which of the following is a common symptom of ulcerative colitis?

Correct Answer is B

Explanation

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