A nurse is explaining the process of gastroesophageal bleeding to a client. What should the nurse highlight as a key factor?
"The primary factor in gastroesophageal bleeding is the presence of excessive stomach acid."
"Weakened blood vessel walls in the esophagus or stomach lining play a significant role in gastroesophageal bleeding."
"Psychological stress and anxiety lead to increased pressure on blood vessels, resulting in bleeding."
"Gastroesophageal bleeding is primarily caused by vigorous coughing and respiratory distress."
The Correct Answer is B
Rationale
A) Incorrect. Excessive stomach acid can contribute to gastrointestinal issues, but it is not the primary factor in gastroesophageal bleeding. Weakened blood vessel walls are more significant.
B) Correct. Gastroesophageal bleeding is primarily caused by the weakening of blood vessel walls in the esophagus or stomach lining. Conditions like peptic ulcers, esophagitis, or varices can lead to this weakening.
C) Incorrect. Psychological stress and anxiety can impact overall health, but they do not directly cause weakened blood vessel walls leading to gastroesophageal bleeding.
D) Incorrect. Vigorous coughing and respiratory distress are not the primary causes of gastroesophageal bleeding. The integrity of blood vessel walls is more relevant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale
A) Incorrect. Engaging in regular, moderate physical activity is generally beneficial for overall health, but it is not the primary factor in strengthening blood vessel walls related to gastroesophageal bleeding.
B) Correct. Excessive physical activity and strenuous exercise can
contribute to weakened blood vessel walls, which is a significant factor in gastroesophageal bleeding.
C) Incorrect. Psychological stress and anxiety associated with physical activity are not the primary triggers for gastroesophageal bleeding.
D) Incorrect. While diet can play a role in gastrointestinal health, it is not the primary factor related to weakened blood vessel walls leading to gastroesophageal bleeding.
Correct Answer is A
Explanation
Rationale
A) Correct. Signs of shock in gastroesophageal bleeding may include pale skin, rapid breathing, confusion, and other indicators of inadequate tissue perfusion due to blood loss.
B) Incorrect. Joint pain and stiffness are not typical signs of shock in gastroesophageal bleeding. They may be indicative of other health issues.
C) Incorrect. Visual disturbances and blurred vision are not common signs of shock in gastroesophageal bleeding. They may be indicative of other health issues.
D) Incorrect. Elevated blood pressure and heart rate are not typical signs of shock in gastroesophageal bleeding. In fact, blood pressure may decrease as a result of blood loss.
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