A patient with peptic ulcer disease develops sudden severe abdominal pain, a rigid abdomen and absent bowel sounds. Which complication should the nurse suspect?
Correct answer: B. Perforation with peritonitis
- A. Gastric outlet obstruction
- B. Perforation with peritonitis
- C. Acute pancreatitis
- D. Uncomplicated gastritis
Explanation
Sudden severe pain with a rigid, silent abdomen suggests perforation and peritonitis. Gastric outlet obstruction usually causes vomiting and distension, while gastritis does not usually cause board-like rigidity.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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50 free Gastrointestinal and Liver Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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