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

Answer and Explanation

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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Correct Answer is D

Explanation

Rationale

A) Incorrect. Increasing intake of foods high in fiber and fluids is generally beneficial for digestive health, but it may not specifically prevent further bleeding in cases of gastroesophageal bleeding.

B) Incorrect. Consuming spicy foods can potentially irritate the gastrointestinal tract, which may exacerbate gastroesophageal bleeding. It is not recommended.

C) Incorrect. Limiting fluid intake is not advisable, as it may lead to dehydration. It is important to stay adequately hydrated, especially in cases of bleeding.

D) Correct. Avoiding alcohol and caffeine is important in managing gastroesophageal bleeding, as they can contribute to further bleeding and irritation of the gastrointestinal tract.

A. Capsule endoscopy B. Upper gastrointestinal (GI) endoscopy C. Esophageal manometry D. Endoscopic ultrasound

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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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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Naxlex Comprehensive Predictor Exams

A client with gastroesophageal bleeding asks the nurse about dietary recommendations. What advice should the nurse provide to support healing and prevent further bleeding?

Correct Answer is D

Explanation

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

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