Practice Quiz

CEN Practice Exam (Certified Emergency Nurse)

Category - Adult

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Which of the following clinical manifestations are the most likely indicators of perforation of the gastrointestinal tract?
  1. Shortness of breath, abdominal tenderness and nausea
  2. Abdominal tenderness, temperature of 101.5
  3. Severe abdominal pain, distention and a board like abdomen
  4. Fluid and electrolyte imbalances, hypotension, paralytic ileus
Explanation
Answer: C - The most likely indicators that the gastrointestinal tract has perforated include severe abdominal pain, abdominal distention and the abdomen becoming stiff and rigid like a board. Fluid and electrolyte imbalances, hypotension and a paralytic ileus are also symptoms but are vaguer.
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