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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

Rationale

A) Incorrect. Consuming alcohol, even in moderation, can contribute to gastroesophageal bleeding. It is advisable to limit or avoid alcohol.

B) Correct. Maintaining a healthy, balanced diet with an emphasis on foods rich in fiber and nutrients can help support digestive health and reduce the risk of gastroesophageal bleeding.

C) Incorrect. Increasing the use of NSAIDs for pain management can increase the risk of gastroesophageal bleeding. Alternative pain management methods should be considered.

D) Incorrect. Engaging in high-intensity exercise is important for cardiovascular health, but it is not directly related to the prevention of gastroesophageal bleeding. Dietary modifications and careful medication management are more relevant in this context.

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 explaining the process of gastroesophageal bleeding to a client. What should the nurse highlight as a key factor?

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Naxlex Comprehensive Predictor Exams

A client with a history of gastroesophageal bleeding asks the nurse about lifestyle modifications to help prevent recurrence. What advice should the nurse provide?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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