A nurse is providing education to a client diagnosed with gastroesophageal bleeding. What intervention should the nurse emphasize for managing bleeding episodes at home?
"Lie down immediately and remain still if you experience any signs of bleeding to reduce blood flow."
"Administer aspirin at regular intervals to help control bleeding and inflammation."
"Avoid any food or fluid intake during episodes of bleeding to prevent further irritation."
"Keep the client in an upright position and encourage chewing on ice chips to constrict blood vessels."
The Correct Answer is A
Rationale
A) Correct. Lying down and remaining still can help reduce blood flow during episodes of bleeding. This is an important first step in managing gastroesophageal bleeding at home.
B) Incorrect. Administering aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) can exacerbate gastroesophageal bleeding and is not recommended.
C) Incorrect. It is important for the client to stay hydrated, even during episodes of bleeding. Avoiding food or fluid intake can lead to dehydration and further complications.
D) Incorrect. Chewing on ice chips is not a recommended intervention for managing gastroesophageal bleeding. It is important to seek immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale
A) Correct. A history of heavy alcohol consumption is a known risk factor for gastroesophageal bleeding. Alcohol can irritate the gastrointestinal tract and contribute to bleeding.
B) Incorrect. Regular consumption of probiotic supplements is not a primary risk factor for gastroesophageal bleeding.
C) Incorrect. While a sedentary lifestyle can contribute to overall health issues, it is not a direct risk factor specifically for gastroesophageal bleeding.
D) Incorrect. A history of allergies and sensitivities is not a common risk factor for gastroesophageal bleeding.
Correct Answer is B
Explanation
Rationale
A) Incorrect. While infections can cause gastrointestinal symptoms, they are not the primary cause of gastroesophageal bleeding. The erosion of blood vessels is a more common cause.
B) Correct. Gastroesophageal bleeding often occurs due to the erosion of blood vessels in the esophagus or stomach lining, which can be caused by conditions such as peptic ulcers, esophagitis, or varices.
C) Incorrect. Psychological stress and anxiety are not primary causes of gastroesophageal bleeding. Physical factors and underlying conditions play a more significant role.
D) Incorrect. Excessive physical activity and strenuous exercise are not common causes of gastroesophageal bleeding. The erosion of blood vessels and underlying medical conditions are more relevant factors.
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