A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer.

Which of the following actions should the nurse plan to take?

Ensure that the client has a 22-gauge IV line in place.

Provide ketorolac for abdominal pain.

Administer nitroprusside IV based on the client's weight.

Insert a large-bore nasogastric tube.

Answer and Explanation

The Correct Answer is D

The nurse should plan to insert a large-bore nasogastric tube for a client who has upper gastrointestinal bleeding due to a peptic ulcer.

This allows for gastric lavage and can help diagnose the source of bleeding.
Choice A is wrong because a 22-gauge IV line may be too small for rapid fluid resuscitation.
Choice B is wrong because ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastrointestinal bleeding.
Choice C is wrong because nitroprusside is a vasodilator used to treat hypertensive emergencies and is not typically used for upper gastrointestinal bleeding.

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Correct Answer is A

Explanation

Hepatitis A is a highly contagious liver infection caused by the hepatitis A virus and is most likely to be contracted from contaminated food or water or from close contact with a person or object that’s infected.
The hepatitis A vaccine can protect against hepatitis A and is recommended for travelers to high-risk areas.
Choice B is incorrect because hepatitis A is not transmitted through blood-to-blood exposure but rather through ingestion of contaminated food or water or through direct contact with an infectious person.
Choice C is incorrect because antibiotics are not used to treat viral infections such as hepatitis
A. Choice D is incorrect because the incubation period of hepatitis A is typically 2-6 weeks, not 5-10 days.

A. High-Fowler's. B. Side-lying. C. Feet elevated. D. Reverse Trendelenburg.

Correct Answer is C

Explanation

The nurse should place the client in a position with their feet elevated.

This position helps to increase blood flow to the vital organs and can help improve the client’s blood pressure.
Choice A is not the answer because the Reverse Trendelenburg position does not help improve blood flow to vital organs.
Choice B is not the answer because the side-lying position does not help improve blood flow to vital organs.
Choice D is not the answer because High-Fowler’s position does not help improve blood flow to vital organs.

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A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take?

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A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer.

Which of the following actions should the nurse plan to take?