CCRN Critical Care Nursing

Category - Adult

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Which of the following clinical manifestations are the most likely indicators of perforation of the gastrointestinal tract?

Shortness of breath, abdominal tenderness and nausea
Abdominal tenderness, temperature of 101.5
Severe abdominal pain, distention and a board like abdomen
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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