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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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

Rationale

A) Incorrect. Consuming alcohol, even in moderation, can contribute to gastroesophageal bleeding. It is advisable to limit or avoid alcohol.

B) Correct. Maintaining a healthy, balanced diet with an emphasis on foods rich in fiber and nutrients can help support digestive health and reduce the risk of gastroesophageal bleeding.

C) Incorrect. Engaging in high-intensity exercise is important for cardiovascular health, but it is not directly related to the prevention of gastroesophageal bleeding. Dietary modifications and careful medication management are more relevant in this context.

D) Incorrect. Seeking medical attention for minor aches and pains is important for overall health and well-being and is not a risk factor for gastroesophageal bleeding.

A. History of allergies and sensitivities B. Chronic use of proton pump inhibitors (PPIs) C. Regular consumption of herbal teas D. Previous surgery for a broken bone

Correct Answer is A

Explanation

Rationale

A) Correct. A history of allergies and sensitivities is not a significant risk factor for gastroesophageal bleeding.

B) Incorrect. Chronic use of proton pump inhibitors (PPIs) is not a known risk factor for gastroesophageal bleeding. In fact, PPIs are often prescribed to help manage conditions that may lead to bleeding.

C) Incorrect. Regular consumption of herbal teas is not a known risk factor for gastroesophageal bleeding.

D) Incorrect. Previous surgery for a broken bone is not related to the risk of gastroesophageal bleeding.

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A client with gastroesophageal bleeding asks the nurse about the initial management steps. What should the nurse include in the response?

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Naxlex Comprehensive Predictor Exams

A client with a history of gastroesophageal bleeding asks the nurse about lifestyle modifications to help prevent recurrence. What advice should the nurse provide?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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