A patient admitted with a peptic ulcer complains of right shoulder pain and is hypotensive. The nurse anticipates that the causes for these symptoms are related to:
A) Improper positioning in the bed
B) Ulcer perforation
C) Angina
D) A pulmonary infection
Ans: B
Feedback: Pain accompanying ulcer perforation may be referred to the shoulders, especially the right shoulder, because of irritation of the phrenic nerve in the diaphragm. Other symptoms include hypotension and tachycardia; tender, rigid abdomen; vomiting; and collapse.
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