A client is admitted to the emergency department following a motor vehicle accident. The nurse is aware that the client is at increased risk for hemorrhage due to which factor?
The client has a history of hypertension.
The client has been taking anticoagulant medication.
The client is a regular blood donor.
The client has a balanced diet.
The Correct Answer is B
A) Incorrect. While hypertension can be a risk factor for cardiovascular issues, it is not directly associated with an increased risk of hemorrhage.
B) Correct. Anticoagulant medication can interfere with the body's clotting mechanisms, making the client more susceptible to bleeding and hemorrhage.
C) Incorrect. Being a regular blood donor does not inherently increase the risk of hemorrhage unless the client donates too frequently, leading to anemia.
D) Incorrect. Having a balanced diet is essential for overall health, but it is not a specific risk factor for hemorrhage.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. Gastric analysis is not commonly used to confirm the presence of blood in the stomach or identify the source of bleeding.
B) Incorrect. Abdominal ultrasound may be helpful in evaluating certain abdominal conditions but is not the primary test for diagnosing upper gastrointestinal bleeding.
C) Correct. Esophagogastroduodenoscopy (EGD) is a direct visualization procedure that uses a flexible endoscope to examine the esophagus, stomach, and duodenum. It allows for visualization of the source of bleeding and potential interventions like cauterization or sclerotherapy.
D) Incorrect. Stool culture is used to detect gastrointestinal infections but is not specific to diagnosing upper gastrointestinal bleeding.
Correct Answer is C
Explanation
A) Incorrect. While a complete blood count (CBC) provides valuable information about the client's red blood cell count and hemoglobin levels, it does not directly confirm the presence of bleeding or assess the clotting function.
B) Incorrect. Magnetic Resonance Imaging (MRI) is a valuable tool for diagnosing various conditions but is not a primary test for confirming the presence of bleeding.
C) Correct. A coagulation panel, which includes prothrombin time (PT) and activated partial thromboplastin time (PTT), helps assess the clotting function and can aid in confirming the presence of bleeding and identifying coagulation disorders.
D) Incorrect. Fecal Occult Blood Test (FOBT) is used to detect hidden blood in stool, which is indicative of lower gastrointestinal bleeding, but it does not confirm internal bleeding in other areas of the body.
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