A client with gastroesophageal bleeding asks the nurse about the role of physical activity in this condition. What should the nurse explain?
"Engaging in regular, moderate physical activity can strengthen blood vessel walls, reducing the risk of gastroesophageal bleeding."
"Excessive physical activity and strenuous exercise are the main factors contributing to weakened blood vessel walls in gastroesophageal bleeding."
"Psychological stress and anxiety associated with physical activity are the primary triggers for gastroesophageal bleeding."
"Physical activity has no direct impact on gastroesophageal bleeding; it is primarily related to dietary factors."
The Correct Answer is B
Rationale
A) Incorrect. Engaging in regular, moderate physical activity is generally beneficial for overall health, but it is not the primary factor in strengthening blood vessel walls related to gastroesophageal bleeding.
B) Correct. Excessive physical activity and strenuous exercise can
contribute to weakened blood vessel walls, which is a significant factor in gastroesophageal bleeding.
C) Incorrect. Psychological stress and anxiety associated with physical activity are not the primary triggers for gastroesophageal bleeding.
D) Incorrect. While diet can play a role in gastrointestinal health, it is not the primary factor related to weakened blood vessel walls leading to gastroesophageal bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is A
Explanation
Rationale
A) Correct. Lying down and remaining still can help reduce blood flow during episodes of bleeding. This is an important first step in managing gastroesophageal bleeding at home.
B) Incorrect. Administering aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) can exacerbate gastroesophageal bleeding and is not recommended.
C) Incorrect. It is important for the client to stay hydrated, even during episodes of bleeding. Avoiding food or fluid intake can lead to dehydration and further complications.
D) Incorrect. Chewing on ice chips is not a recommended intervention for managing gastroesophageal bleeding. It is important to seek immediate medical attention.
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