A nurse is assessing a client suspected of having gastroesophageal bleeding. What should the nurse be particularly attentive to?

Blood pressure and heart rate changes

Joint pain and swelling

Visual disturbances and blurred vision

Elevated blood glucose levels

Answer and Explanation

The Correct Answer is A

Rationale

A) Correct. In gastroesophageal bleeding, changes in blood pressure and heart rate may occur due to blood loss. These vital signs should be closely monitored.

B) Incorrect. Joint pain and swelling are not typical symptoms of gastroesophageal bleeding. They may be indicative of other health issues.

C) Incorrect. Visual disturbances and blurred vision are not common symptoms of gastroesophageal bleeding. These symptoms may be indicative of other health issues.

D) Incorrect. Elevated blood glucose levels are not directly related to gastroesophageal bleeding. They may be indicative of other health issues.

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Correct Answer is C

Explanation

Rationale

A) Incorrect. Capsule endoscopy involves swallowing a small wireless capsule with a camera to capture images as it passes through the gastrointestinal tract. It does not evaluate the pressure and coordination of the esophageal muscles.

B) Incorrect. Upper gastrointestinal (GI) endoscopy involves using a flexible tube with a camera to directly visualize the esophagus and stomach. It does not evaluate the esophageal muscle function.

C) Correct. Esophageal manometry is a diagnostic test that evaluates the pressure and coordination of the muscles in the esophagus. It is useful in assessing conditions related to esophageal motility.

D) Incorrect. Endoscopic ultrasound involves the use of an endoscope and ultrasound to visualize the gastrointestinal tract, but it does not evaluate the pressure and coordination of the esophageal muscles.

A. "Gastroesophageal bleeding results from the accumulation of gas and bloating in the digestive tract." B. "The weakened blood vessel walls lead to the escape of blood into the digestive tract, which can be expelled in vomit or stool." C. "Psychological stress and anxiety directly impact the function of the gastrointestinal tract, leading to bleeding." D. "Excessive physical activity and strenuous exercise cause direct trauma to the digestive tract, resulting in gastroesophageal bleeding."

Correct Answer is B

Explanation

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.

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A nurse is assessing a client suspected of having gastroesophageal bleeding. What should the nurse be particularly attentive to?

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Naxlex Comprehensive Predictor Exams

A client with suspected gastroesophageal bleeding asks the nurse about the diagnostic test that evaluates the pressure and coordination of the esophageal muscles. What should the nurse explain?

Correct Answer is C

Explanation

A client with gastroesophageal bleeding asks the nurse how this condition affects the gastrointestinal tract. What should the nurse explain?

Correct Answer is B

Explanation

A client with gastroesophageal bleeding asks the nurse about the initial management steps. What should the nurse include in the response?

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A client with gastroesophageal bleeding asks the nurse about the underlying cause of this condition. What should the nurse explain?

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A nurse is providing education to a client diagnosed with gastroesophageal bleeding. What intervention should the nurse emphasize for managing bleeding episodes at home?

A nurse is caring for a client with gastroesophageal bleeding. What should be included in the nursing interventions to promote client safety?

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