A patient with a history of peptic ulcer disease has presented to the emergency department (ED) in distress. What assessment finding would lead the ED nurse to suspect that the patient has a perforated ulcer?
A) The patient has abdominal bloating that developed rapidly.
B) The patient has a rigid, "boardlike" abdomen that is tender.
C) The patient is experiencing intense lower right quadrant pain.
D) The patient is experiencing dizziness and confusion with no apparent hemodynamic changes.
Ans: B
Feedback:
An extremely tender and rigid (boardlike) abdomen is suggestive of a perforated ulcer. None of the other listed signs and symptoms is suggestive of a perforated ulcer.
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