A client with gastroesophageal bleeding asks the nurse about self-care measures at home. What should the nurse advise the client regarding activities that may exacerbate bleeding?

"Avoid lifting heavy objects or engaging in strenuous physical activities."

"Engage in intense aerobic exercise to promote overall cardiovascular health."

"Take hot baths to relax the body and alleviate symptoms of gastroesophageal bleeding."

"Consume a diet high in fiber and roughage to aid in digestion and prevent further bleeding."

Answer and Explanation

The Correct Answer is A

Rationale

A) Correct. Lifting heavy objects or engaging in strenuous physical activities can increase blood pressure and strain, potentially exacerbating gastroesophageal bleeding. It is important to avoid such activities.

B) Incorrect. Engaging in intense aerobic exercise may increase blood pressure and should be avoided to prevent exacerbation of gastroesophageal bleeding.

C) Incorrect. Taking hot baths is not specifically related to managing gastroesophageal bleeding. It is important to focus on activities that do not exacerbate bleeding.

D) Incorrect. While a diet high in fiber and roughage is generally beneficial for digestive health, it is not directly related to preventing further bleeding in cases of gastroesophageal bleeding.

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Correct Answer is A

Explanation

Rationale

A) Correct. Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of gastrointestinal bleeding and should be avoided in individuals with gastroesophageal bleeding.

B) Incorrect. While anticoagulants can increase the risk of bleeding, their use and management should be determined by a healthcare provider based on individual circumstances.

C) Incorrect. Proton pump inhibitors (PPIs) are actually used to reduce stomach acid production and can be beneficial in the management of gastroesophageal bleeding.

D) Incorrect. Antibiotics are not typically contraindicated for gastroesophageal bleeding. They may be prescribed if there is evidence of bacterial infection.

A. "Signs of shock in gastroesophageal bleeding may include pale skin, rapid breathing, and confusion." B. "You may experience joint pain and stiffness as signs of shock in gastroesophageal bleeding." C. "Visual disturbances and blurred vision are common signs of shock in gastroesophageal bleeding." D. "Elevated blood pressure and heart rate are typical signs of shock in gastroesophageal bleeding."

Correct Answer is A

Explanation

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.

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A client with gastroesophageal bleeding asks the nurse about self-care measures at home. What should the nurse advise the client regarding activities that may exacerbate bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client on medication management for gastroesophageal bleeding. What type of medications should the nurse advise the client to avoid?

Correct Answer is A

Explanation

A client experiencing symptoms of gastroesophageal bleeding asks the nurse about the potential signs of shock. What should the nurse include in the response?

Correct Answer is A

Explanation

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