A client experiencing symptoms of gastroesophageal bleeding asks the nurse about the potential signs of shock. What should the nurse include in the response?
"Signs of shock in gastroesophageal bleeding may include pale skin, rapid breathing, and confusion."
"You may experience joint pain and stiffness as signs of shock in gastroesophageal bleeding."
"Visual disturbances and blurred vision are common signs of shock in gastroesophageal bleeding."
"Elevated blood pressure and heart rate are typical signs of shock in gastroesophageal bleeding."
The Correct Answer is A
Rationale
A) Correct. Signs of shock in gastroesophageal bleeding may include pale skin, rapid breathing, confusion, and other indicators of inadequate tissue perfusion due to blood loss.
B) Incorrect. Joint pain and stiffness are not typical signs of shock in gastroesophageal bleeding. They may be indicative of other health issues.
C) Incorrect. Visual disturbances and blurred vision are not common signs of shock in gastroesophageal bleeding. They may be indicative of other health issues.
D) Incorrect. Elevated blood pressure and heart rate are not typical signs of shock in gastroesophageal bleeding. In fact, blood pressure may decrease as a result of blood loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale
A) Correct. Lying down and remaining still can help reduce blood flow during episodes of bleeding. This is an important first step in managing gastroesophageal bleeding at home.
B) Incorrect. Administering aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) can exacerbate gastroesophageal bleeding and is not recommended.
C) Incorrect. It is important for the client to stay hydrated, even during episodes of bleeding. Avoiding food or fluid intake can lead to dehydration and further complications.
D) Incorrect. Chewing on ice chips is not a recommended intervention for managing gastroesophageal bleeding. It is important to seek immediate medical attention.
Correct Answer is B
Explanation
Rationale
A) Incorrect. Gastroesophageal bleeding is not primarily related to the accumulation of gas and bloating in the digestive tract. It is related to blood vessel integrity.
B) Correct. Gastroesophageal bleeding occurs when weakened blood vessel walls lead to the escape of blood into the digestive tract. This blood can be expelled in vomit (hematemesis) or in stool (melena).
C) Incorrect. Psychological stress and anxiety can impact overall health, but they do not directly cause gastroesophageal bleeding.
D) Incorrect. Excessive physical activity and strenuous exercise do not directly cause gastroesophageal bleeding. It is primarily related to the integrity of blood vessel walls.
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