A nurse is educating a client on medication management for gastroesophageal bleeding. What type of medications should the nurse advise the client to avoid?

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Anticoagulants

Proton pump inhibitors (PPIs)

Antibiotics

Answer and Explanation

The Correct Answer is A

Rationale

A) Correct. Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of gastrointestinal bleeding and should be avoided in individuals with gastroesophageal bleeding.

B) Incorrect. While anticoagulants can increase the risk of bleeding, their use and management should be determined by a healthcare provider based on individual circumstances.

C) Incorrect. Proton pump inhibitors (PPIs) are actually used to reduce stomach acid production and can be beneficial in the management of gastroesophageal bleeding.

D) Incorrect. Antibiotics are not typically contraindicated for gastroesophageal bleeding. They may be prescribed if there is evidence of bacterial infection.

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Correct Answer is A

Explanation

Rationale

A) Correct. An upper gastrointestinal (GI) endoscopy is a direct visualization procedure that allows healthcare providers to examine the esophagus and stomach for any signs of bleeding or other abnormalities.

B) Incorrect. Magnetic resonance imaging (MRI) is a non-invasive imaging technique that may be used for various medical conditions, but it is not the primary test for visualizing the gastrointestinal tract in cases of bleeding.

C) Incorrect. A chest X-ray may be performed for different purposes, but it is not the primary test for visualizing the esophagus and stomach.

D) Incorrect. Positron emission tomography (PET) scans are used to detect metabolic activity in the body and are not typically used as a primary diagnostic test for gastroesophageal bleeding.

A. "Common signs and symptoms of gastroesophageal bleeding include abdominal pain and bloating." B. "You may experience difficulty concentrating and memory problems due to gastroesophageal bleeding." C. "One of the main signs of gastroesophageal bleeding is the presence of bloody or black, tarry stools." D. "Gastroesophageal bleeding typically leads to skin rash and itching."

Correct Answer is C

Explanation

Rationale

A) Incorrect. Abdominal pain and bloating are not the main signs and symptoms of gastroesophageal bleeding. They may be associated with other gastrointestinal conditions.

B) Incorrect. Difficulty concentrating and memory problems are not typically associated with gastroesophageal bleeding. These symptoms may be indicative of other health issues.

C) Correct. One of the main signs of gastroesophageal bleeding is the presence of bloody or black, tarry stools (melena). This indicates that blood has passed through the digestive tract.

D) Incorrect. Skin rash and itching are not typical signs of gastroesophageal bleeding. These symptoms may be associated with other conditions.

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A nurse is educating a client on medication management for gastroesophageal bleeding. What type of medications should the nurse advise the client to avoid?

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Naxlex Comprehensive Predictor Exams

A nurse is explaining the diagnostic process for gastroesophageal bleeding to a client. What test may be ordered to directly visualize the esophagus and stomach?

Correct Answer is A

Explanation

A client with gastroesophageal bleeding asks the nurse about common signs and symptoms. What should the nurse include in the response?

Correct Answer is C

Explanation

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