A client with gastroesophageal bleeding asks the nurse how this condition affects the gastrointestinal tract. What should the nurse explain?
"Gastroesophageal bleeding results from the accumulation of gas and bloating in the digestive tract."
"The weakened blood vessel walls lead to the escape of blood into the digestive tract, which can be expelled in vomit or stool."
"Psychological stress and anxiety directly impact the function of the gastrointestinal tract, leading to bleeding."
"Excessive physical activity and strenuous exercise cause direct trauma to the digestive tract, resulting in gastroesophageal bleeding."
The Correct Answer is B
Rationale
A) Incorrect. Gastroesophageal bleeding is not primarily related to the accumulation of gas and bloating in the digestive tract. It is related to blood vessel integrity.
B) Correct. Gastroesophageal bleeding occurs when weakened blood vessel walls lead to the escape of blood into the digestive tract. This blood can be expelled in vomit (hematemesis) or in stool (melena).
C) Incorrect. Psychological stress and anxiety can impact overall health, but they do not directly cause gastroesophageal bleeding.
D) Incorrect. Excessive physical activity and strenuous exercise do not directly cause gastroesophageal bleeding. It is primarily related to the integrity of blood vessel walls.
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 C
Explanation
Rationale
A) Incorrect. Taking over-the-counter NSAIDs can exacerbate gastroesophageal bleeding and is not recommended.
B) Incorrect. Seeking immediate medical attention for any symptoms of gastroesophageal bleeding is crucial for timely evaluation and treatment. Delaying medical care can lead to complications.
C) Correct. Seeking regular follow-up appointments with a healthcare provider is important for ongoing monitoring and management of gastroesophageal bleeding to prevent complications and ensure appropriate treatment.
D) Incorrect. Engaging in high-intensity exercise is not specifically indicated for preventing further bleeding in individuals with gastroesophageal bleeding. It may even exacerbate the bleeding.
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