Home » NCLEX » NCLEX-RN » The nurse knows that a symptom that might indicate a serious complication of an ulcer is:
A male client tells his nurse that he has had an ulcer in the past and is afraid it is "flaring up again." The nurse begins to ask him specific questions about his symptoms. The nurse knows that a symptom that might indicate a serious complication of an ulcer is:
A. Pain in the middle of the night
B. A bowel movement every 35 days
C. Melena
D. Episodes of nausea and vomiting
Correct Answer: C
Explanation/Reference:
Explanation:
(A) Clients with ulcers generally experience abdominal pain. It is common to have pain in the early morning hours with an ulcer. (B) Constipation is not a symptom associated with ulcers and would indicate a need to look at other factors. (C) Melena is blood in the stools. This could indicate a slow bleeding ulcer, which could result in significant amounts of blood loss over time.(D) Nausea and vomiting may be present as a result of the ulcer, especially if it is a gastric ulcer. This does not indicate an immediate life-threatening complication.
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