A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?

Administer pain medication to alleviate discomfort.

Assist the client to a comfortable position in bed.

Apply direct pressure to the bleeding site.

Obtain a detailed health history from the client.

Answer and Explanation

The Correct Answer is C

A) Incorrect. While pain management is essential, it is not the priority when dealing with active bleeding that requires immediate intervention.

B) Incorrect. Positioning the client comfortably is important, but it is not the priority when there is active bleeding.

C) Correct. The priority intervention is to apply direct pressure to the bleeding site to control and reduce bleeding until further assessment and medical assistance can be obtained.

D) Incorrect. Obtaining a detailed health history is valuable for understanding the client's overall health, but it is not the priority when the client is actively bleeding and requires immediate intervention.

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Correct Answer is A

Explanation

A) Correct. Chronic use of NSAIDs, such as ibuprofen and aspirin, can irritate the stomach lining and increase the risk of gastric ulcers, including duodenal ulcers.

B) Incorrect. A diet high in fiber and whole grains is generally beneficial and does not directly cause duodenal ulcers.

C) Incorrect. While acidic foods and beverages may aggravate existing ulcers, they are not the primary cause of the ulcer.

D) Incorrect. Excessive intake of vitamin K-rich foods can promote blood clotting and is not a cause of duodenal ulcers.

A. Computed Tomography (CT) scan B. Complete Blood Count (CBC) C. Electrocardiogram (ECG) D. Magnetic Resonance Imaging (MRI)

Correct Answer is A

Explanation

A) Correct. A CT scan is a valuable diagnostic tool to identify the cause and source of bleeding, especially in cases of significant hemorrhage.

B) Incorrect. While a complete blood count (CBC) provides valuable information about the client's red blood cells and hemoglobin levels, it does not directly identify the cause and source of bleeding.

C) Incorrect. An electrocardiogram (ECG) is used to assess the heart's electrical activity and is not relevant to identifying the cause and source of bleeding.

D) Incorrect. Magnetic Resonance Imaging (MRI) is helpful in diagnosing various conditions but is not the primary test for identifying the cause and source of bleeding in a client with suspected hemorrhage.

Questions

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A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the hospital with a bleeding duodenal ulcer. What should the nurse identify as the primary cause of the ulcer?

Correct Answer is A

Explanation

A nurse is caring for a client with suspected hemorrhage. The nurse should anticipate which diagnostic test as a priority to identify the cause and source of bleeding?

Correct Answer is A

Explanation

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