The nurse is caring for a client with a peptic ulcer and a nasogastric (NG) tube who develops sudden, severe upper abdominal pain, diaphoresis, and a very firm abdomen. Which of the following actions should the nurse take next?
A)Irrigate the NG tube.
B)Obtain the vital signs.
C)Listen for bowel sounds.
D)Give the ordered antacid.

Question

Quizplus · Accepted Answer

The client's symptoms suggest acute perforation, and the nurse should assess for signs of hypovolemic shock. Irrigation of the NG tube, administration of antacids, or both would be contraindicated because any material in the stomach will increase the spillage into the peritoneal cavity. The nurse should assess the bowel sounds, but this is not the first action that should be taken.

The Nurse Is Caring for a Client with a Peptic