A nurse is discussing diagnostic tests for gastroesophageal bleeding with a client. What test involves placing a small wireless capsule in the esophagus to capture images?

Rationale

A) Incorrect. Taking over-the-counter NSAIDs can exacerbate gastroesophageal bleeding as they may irritate the gastrointestinal tract. It is advisable to avoid them in this situation.

B) Correct. Seeking immediate medical attention is crucial if a client experiences symptoms of gastroesophageal bleeding such as vomiting blood (hematemesis) or passing dark, tarry stools (melena). This ensures timely evaluation and treatment.

C) Incorrect. Engaging in high-intensity exercise may exacerbate the bleeding and is not recommended as part of the initial management of gastroesophageal bleeding.

D) Incorrect. Increasing alcohol consumption can contribute to gastroesophageal bleeding, so it is important to avoid alcohol in this situation.

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.