A client is admitted to the hospital with a bleeding duodenal ulcer. What should the nurse identify as the primary cause of the ulcer?

Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Consuming a diet high in fiber and whole grains.

Frequent intake of acidic foods and beverages.

Excessive intake of vitamin K-rich foods.

Answer and Explanation

The Correct Answer is A

A) Correct. Chronic use of NSAIDs, such as ibuprofen and aspirin, can irritate the stomach lining and increase the risk of gastric ulcers, including duodenal ulcers.

B) Incorrect. A diet high in fiber and whole grains is generally beneficial and does not directly cause duodenal ulcers.

C) Incorrect. While acidic foods and beverages may aggravate existing ulcers, they are not the primary cause of the ulcer.

D) Incorrect. Excessive intake of vitamin K-rich foods can promote blood clotting and is not a cause of duodenal ulcers.

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Correct Answer is A

Explanation

A) Correct. Before administering a blood transfusion, obtaining informed consent from the client is essential to ensure the client understands the procedure, its potential risks, and provides their voluntary agreement for the transfusion.

B) Incorrect. While pain assessment is important, it is not the most crucial action before starting a blood transfusion.

C) Incorrect. Prophylactic antibiotics are not typically administered before a blood transfusion unless specifically indicated for the client's condition.

D) Incorrect. While taking vital signs is important, obtaining consent is more critical before starting a blood transfusion.

A. Bright red blood B. Tarry and sticky appearance C. Yellowish color D. Clay-colored stools

Correct Answer is B

Explanation

A) Incorrect. Bright red blood in the stool typically indicates lower gastrointestinal bleeding, such as from hemorrhoids or anal fissures.

B) Correct. A tarry and sticky appearance of the stool, also known as melena, is characteristic of upper gastrointestinal bleeding. The dark color is due to the digestion of blood in the stomach.

C) Incorrect. A yellowish color of the stool is not associated with gastrointestinal bleeding. It can be related to other factors like diet or liver issues.

D) Incorrect. Clay-colored stools are pale and occur with problems in the biliary system, not with gastrointestinal bleeding.

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A client is admitted to the hospital with a bleeding duodenal ulcer. What should the nurse identify as the primary cause of the ulcer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a blood transfusion to a client with hemorrhagic shock. Which action is essential before starting the transfusion?

Correct Answer is A

Explanation

A nurse is assessing a client with suspected gastrointestinal bleeding. Which stool characteristic is a common clinical manifestation of upper gastrointestinal bleeding?

Correct Answer is B

Explanation

A nurse is caring for a client with liver cirrhosis. Which assessment finding supports the client's increased risk of hemorrhage?

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A nurse is caring for a client with suspected internal bleeding. Which assessment finding requires immediate intervention?

A nurse is caring for a client with a suspected upper gastrointestinal bleed. Which diagnostic test should the nurse anticipate to confirm the presence of blood in the stomach and differentiate the source of bleeding?

A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?

A nurse is caring for a client at risk of hemorrhage. What is the nurse's priority action to prevent bleeding complications?

A client with a history of bleeding disorders presents to the emergency department with excessive bleeding from a minor cut. Which laboratory test should the nurse monitor to assess the client's clotting function?

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