A client with gastroesophageal bleeding asks the nurse about the initial management steps. What should the nurse include in the response?
"You should start taking over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain and inflammation."
"Seek immediate medical attention if you experience symptoms of gastroesophageal bleeding such as vomiting blood or passing dark, tarry stools."
"Begin a high-intensity exercise routine to improve cardiovascular health, which can aid in managing gastroesophageal bleeding."
"Increase alcohol consumption, as it can help relax the blood vessels and alleviate symptoms of gastroesophageal bleeding."
The Correct Answer is B
Rationale
A) Incorrect. Taking over-the-counter NSAIDs can exacerbate gastroesophageal bleeding as they may irritate the gastrointestinal tract. It is advisable to avoid them in this situation.
B) Correct. Seeking immediate medical attention is crucial if a client experiences symptoms of gastroesophageal bleeding such as vomiting blood (hematemesis) or passing dark, tarry stools (melena). This ensures timely evaluation and treatment.
C) Incorrect. Engaging in high-intensity exercise may exacerbate the bleeding and is not recommended as part of the initial management of gastroesophageal bleeding.
D) Incorrect. Increasing alcohol consumption can contribute to gastroesophageal bleeding, so it is important to avoid alcohol in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale
A) Incorrect. Bacterial infections are not the primary cause of gastroesophageal bleeding. It is more commonly related to the integrity of blood vessel walls.
B) Correct. Gastroesophageal bleeding is primarily caused by the weakening of blood vessel walls in the esophagus or stomach. Conditions like peptic ulcers, esophagitis, or varices can lead to this weakening.
C) Incorrect. While psychological stress and anxiety can have an impact on overall health, they are not the leading factors contributing to gastroesophageal bleeding.
D) Incorrect. Excessive physical activity and strenuous exercise are not the primary triggers for gastroesophageal bleeding. The integrity of blood vessel walls plays a more significant role.
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.
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