A middle-age patient presents at the community clinic with abdominal pains and heartburn, which he says have persisted for several days following a particularly spicy meal
Which of the following complications would the nurse be particularly likely to assess for?
A) Esophageal or pyloric obstruction related to scarring
B) Acute systemic infection related to peritonitis
C) Gastric hyperacidity related to excessive gastrin secretion
D) Chronic referred pain in the right shoulder
Ans: A
Feedback: Acute gastritis can result from dietary indiscretion and may lead to scarring and stenosis often requiring dilation. Acute systemic infection occurs following perforation. Perforation is not a common occurrence following ingestion of a corrosive substance. Gastrin is a hormone secreted in the stomach. It is not normally found in the esophagus. Chronic referred pain to the right shoulder is a symptom of peptic ulcer disease, but it would not be an expected finding for a patient who has ingested a corrosive substance.
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