A nurse is providing education to a client about the factors that contribute to gastroesophageal bleeding. What should the nurse emphasize?

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.

Rationale

A) Incorrect. While certain bacterial infections can lead to gastrointestinal issues, they are not a primary factor in the development of gastroesophageal bleeding.

B) Correct. Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs) is a significant factor contributing to gastroesophageal bleeding. NSAIDs can irritate the gastrointestinal tract, potentially leading to bleeding.

C) Incorrect. Psychological stress and anxiety are not the primary factors that weaken blood vessel walls in the esophagus leading to gastroesophageal bleeding.

D) Incorrect. Engaging in intense physical activity and strenuous exercise is not the main cause of weakened blood vessels in gastroesophageal bleeding. It is primarily related to the integrity of blood vessel walls and underlying conditions.