A client with suspected gastroesophageal bleeding asks the nurse about the possible causes. What should the nurse include in the response?
"Gastroesophageal bleeding is most commonly caused by infections in the gastrointestinal tract."
"One of the common causes of gastroesophageal bleeding is the erosion of blood vessels in the esophagus or stomach lining."
"The primary cause of gastroesophageal bleeding is psychological stress and anxiety."
"Gastroesophageal bleeding is usually the result of excessive physical activity and strenuous exercise."
The Correct Answer is B
Rationale
A) Incorrect. While infections can cause gastrointestinal symptoms, they are not the primary cause of gastroesophageal bleeding. The erosion of blood vessels is a more common cause.
B) Correct. Gastroesophageal bleeding often occurs due to the erosion of blood vessels in the esophagus or stomach lining, which can be caused by conditions such as peptic ulcers, esophagitis, or varices.
C) Incorrect. Psychological stress and anxiety are not primary causes of gastroesophageal bleeding. Physical factors and underlying conditions play a more significant role.
D) Incorrect. Excessive physical activity and strenuous exercise are not common causes of gastroesophageal bleeding. The erosion of blood vessels and underlying medical conditions are more relevant factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale
A) Incorrect. History of allergies and sensitivities is not a significant risk factor for gastroesophageal bleeding.
B) Correct. Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs) is a significant risk factor for gastroesophageal bleeding. NSAIDs can irritate the lining of the stomach and esophagus, potentially leading to bleeding.
C) Incorrect. Regular consumption of probiotic supplements is not a known risk factor for gastroesophageal bleeding.
D) Incorrect. High intake of vitamin C-rich foods is not a significant risk factor for gastroesophageal bleeding.
Correct Answer is A
Explanation
Rationale
A) Correct. Signs of shock in gastroesophageal bleeding may include pale skin, rapid breathing, confusion, and other indicators of inadequate tissue perfusion due to blood loss.
B) Incorrect. Joint pain and stiffness are not typical signs of shock in gastroesophageal bleeding. They may be indicative of other health issues.
C) Incorrect. Visual disturbances and blurred vision are not common signs of shock in gastroesophageal bleeding. They may be indicative of other health issues.
D) Incorrect. Elevated blood pressure and heart rate are not typical signs of shock in gastroesophageal bleeding. In fact, blood pressure may decrease as a result of blood loss.
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