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A patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is stable. For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence?

A.

Sudden thirst, unrelieved by oral fluid administration

B.

Tachycardia, hypotension, and tachypnea

C.

Diaphoresis and sudden onset of abdominal pain

D.

Tarry, foul-smelling stools

Answer and Explanation

The Correct Answer is B

Choice A reason:

While thirst can be a sign of dehydration, it is not specific to recurrence of a GI bleed.

Choice B reason:

This is the correct answer. Tachycardia (rapid heart rate), hypotension (low blood pressure), and tachypnea (rapid breathing) are signs of potential recurrence of a GI bleed and should be closely monitored.

Choice C reason:

Diaphoresis (excessive sweating) and sudden onset of abdominal pain could be indicative of various conditions, but they are not specific to recurrence of a GI bleed.

Choice D reason:

Tarry, foul-smelling stools are indicative of melena, which is a sign of a GI bleed. However, in this scenario, the bleeding has been controlled, so this is not an expected sign of recurrence.


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Related Questions

Correct Answer is ["10"]

Explanation

  • Read the medication label carefully and check the dosage and concentration of Ceclor.
  • The label shows that Ceclor is available as a suspension with 250 mg/5 mL.
  • To calculate the volume of medication needed, use the formula: Volume = Dose / Concentration
  • Plug in the values from the order and the label: Volume = 0.5 g / (250 mg/5 mL)
  • Convert grams to milligrams by multiplying by 1000: Volume = 500 mg / (250 mg/5 mL)
  • Simplify the fraction by dividing both numerator and denominator by 250: Volume = 2 / (1/5)
  • Invert and multiply the fractions: Volume = 2 x 5
  • Solve for volume: Volume = 10 mL
  • The patient will receive 10 mL of Ceclor suspension.

Correct Answer is ["31.25"]

Explanation

  • To calculate the correct rate of flow for this patient, we need to use the formula: Rate (gtt/min) = Volume (mL) x Calibration (gtt/mL) / Time (min)
  • Plugging in the given values, we get: Rate (gtt/min) = 125 mL x 15 gtt/mL / 60 min
  • Simplifying, we get: Rate (gtt/min) = 31.25 gtt/min
  • Therefore, the correct rate of flow for this patient is 31.25 gtt/min

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