A nurse is caring for a client who has an active upper gastrointestinal bleed. After inserting an NG tube into the client, which of the following findings should the nurse anticipate?
Frothy pink drainage
Greenish-yellow drainage
Dark amber drainage
Coffee-ground drainage
The Correct Answer is D
A. Frothy pink drainage is more characteristic of recent or active bleeding rather than an upper gastrointestinal bleed.
B. Greenish-yellow drainage typically indicates bile or gastric secretions rather than blood.
C. Dark amber drainage might suggest older, degraded blood but is less specific to an active upper GI bleed.
D. Coffee-ground drainage is indicative of older, partially digested blood and is expected in cases of upper gastrointestinal bleeding due to the breakdown of blood in the stomach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Photophobia is a common symptom of meningitis but is not specific to increased ICP.
B. Nuchal rigidity is a sign of meningitis but does not directly indicate increased ICP.
C. Positive Kernig's sign is indicative of meningitis and meningeal irritation but not necessarily increased ICP.
D. Widened pulse pressure and bradycardia (heart rate of 40 per minute) are classic signs of increased ICP, reflecting the Cushing's triad.
Correct Answer is B
Explanation
A. A decrease in urinary output can be a sign of decreased blood volume but is less immediate than changes in heart rate.
B. An increase in the heart rate is a common compensatory response to hypovolemia as the body attempts to maintain adequate perfusion to vital organs.
C. A decrease in the respiratory rate is not typically associated with hypovolemic shock; rather, respiratory rate may increase due to compensatory mechanisms.
D. An increase in temperature is not a specific indicator of hypovolemic shock; it could be related to infection or inflammation rather than immediate hypovolemia.
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