Difficulty: Medium
Average Score: 82%
Simulated
The nurse has been assigned to care for a client diagnosed with peptic ulcer disease. Which assessment data require further intervention?
Correct answer
C
Rationale
A 20 mm Hg drop in systolic BP on positional change suggests orthostatic hypotension, possibly from bleeding, requiring immediate intervention. Normal bowel sounds, belching, and reduced pain are less concerning.