A client with suspected gastroesophageal bleeding asks the nurse about the possible causes. What should the nurse include in the response?

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.

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.