A client with gastroesophageal bleeding asks the nurse about the underlying cause of this condition. What should the nurse explain?
"Gastroesophageal bleeding is primarily caused by bacterial infections in the digestive tract."
"The main cause of gastroesophageal bleeding is the weakening of blood vessel walls in the esophagus."
"Psychological stress and anxiety are the leading factors contributing to gastroesophageal bleeding."
"Excessive physical activity and strenuous exercise are the primary triggers for gastroesophageal bleeding."
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale
A) Correct. Monitoring vital signs, especially blood pressure and heart rate, is crucial for assessing the client's hemodynamic stability and response to treatment for gastroesophageal bleeding.
B) Incorrect. Administering aspirin regularly is contraindicated in cases of gastroesophageal bleeding, as it can exacerbate bleeding.
C) Incorrect. Encouraging rigorous physical activities is not recommended for clients with gastroesophageal bleeding, as it can increase the risk of bleeding and further complications.
D) Incorrect. Allowing the client to self-administer medications without supervision may not be safe, especially in cases of gastroesophageal bleeding where careful medication management is essential.
Correct Answer is B
Explanation
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.
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