A nurse is caring for a client with gastroesophageal bleeding. What should be included in the nursing interventions to promote client safety?
Monitoring vital signs frequently, particularly blood pressure and heart rate
Administering aspirin regularly to manage pain and inflammation
Encouraging the client to engage in rigorous physical activities to improve cardiovascular health
Allowing the client to self-administer medications without supervision for convenience
The Correct Answer is A
Rationale
A) Correct. Monitoring vital signs, especially blood pressure and heart rate, is crucial for assessing the client's hemodynamic stability and response to treatment for gastroesophageal bleeding.
B) Incorrect. Administering aspirin regularly is contraindicated in cases of gastroesophageal bleeding, as it can exacerbate bleeding.
C) Incorrect. Encouraging rigorous physical activities is not recommended for clients with gastroesophageal bleeding, as it can increase the risk of bleeding and further complications.
D) Incorrect. Allowing the client to self-administer medications without supervision may not be safe, especially in cases of gastroesophageal bleeding where careful medication management is essential.
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Related Questions
Correct Answer is B
Explanation
Rationale
A) Incorrect. NSAIDs can increase the risk of gastroesophageal bleeding, especially with regular use. Continuing their use without precautions can be detrimental.
B) Correct. Avoiding or limiting the use of NSAIDs and considering alternative pain management methods can help reduce the risk of gastroesophageal bleeding.
C) Incorrect. Engaging in intense physical activity can be beneficial for overall health, but it is not directly related to the prevention of gastroesophageal bleeding.
D) Incorrect. Increasing the consumption of alcoholic beverages can actually contribute to gastroesophageal bleeding. It is advisable to limit or avoid alcohol.
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.
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