The nurse is caring for a client with peptic ulcer disease. Which assessment finding indicates to the nurse that the client most likely has an ulcer in the stomach rather than in the duodenum?
a. Body mass index (BMI) is 16.6.
b. Stool is positive for occult blood.
c. Client has had four ulcers in the last 5 years.
d. Hemoglobin is 13 g/dL and hematocrit is 42%.
A
A BMI of 17.6 indicates that the client is underweight (<18.5 is underweight in adults). This finding is more commonly seen with gastric ulcers than with duodenal ulcers because the pain is made worse with food ingestion. Occult blood and low hemoglobin and hematocrit levels may be seen with both gastric and duodenal ulcers. Recurrence is more commonly seen with duodenal than with gastric ulcers.
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