A client is admitted to the hospital with a bleeding duodenal ulcer. What should the nurse identify as the primary cause of the ulcer?

Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Consuming a diet high in fiber and whole grains.

Frequent intake of acidic foods and beverages.

Excessive intake of vitamin K-rich foods.

Answer and Explanation

The Correct Answer is A

A) Correct. Chronic use of NSAIDs, such as ibuprofen and aspirin, can irritate the stomach lining and increase the risk of gastric ulcers, including duodenal ulcers.

B) Incorrect. A diet high in fiber and whole grains is generally beneficial and does not directly cause duodenal ulcers.

C) Incorrect. While acidic foods and beverages may aggravate existing ulcers, they are not the primary cause of the ulcer.

D) Incorrect. Excessive intake of vitamin K-rich foods can promote blood clotting and is not a cause of duodenal ulcers.

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Correct Answer is B

Explanation

A) Incorrect. A neurological assessment is important to evaluate the client's central nervous system function, but it is not directly related to identifying bleeding sources.

B) Correct. A skin integrity assessment is essential to identify potential external bleeding sources, such as cuts, bruises, or petechiae, which may indicate underlying bleeding disorders.

C) Incorrect. While an abdominal assessment is crucial in identifying internal bleeding in the abdominal area, it is not the most essential assessment to identify bleeding sources overall.

D) Incorrect. A respiratory assessment is important for assessing oxygenation and respiratory status, but it is not the primary assessment to identify bleeding sources.

Questions

A. Administer pain medication to alleviate discomfort. B. Assist the client to a comfortable position in bed. C. Apply direct pressure to the bleeding site. D. Obtain a detailed health history from the client.

Correct Answer is C

Explanation

A) Incorrect. While pain management is essential, it is not the priority when dealing with active bleeding that requires immediate intervention.

B) Incorrect. Positioning the client comfortably is important, but it is not the priority when there is active bleeding.

C) Correct. The priority intervention is to apply direct pressure to the bleeding site to control and reduce bleeding until further assessment and medical assistance can be obtained.

D) Incorrect. Obtaining a detailed health history is valuable for understanding the client's overall health, but it is not the priority when the client is actively bleeding and requires immediate intervention.

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A client is admitted to the hospital with a bleeding duodenal ulcer. What should the nurse identify as the primary cause of the ulcer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a suspected bleeding disorder. Which nursing assessment is most essential to identify potential bleeding sources?

Correct Answer is B

Explanation

A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?

Correct Answer is C

Explanation

A client with hemophilia is admitted to the hospital with an acute joint bleed. What is the nurse's priority intervention for managing joint bleeding in this client?

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A nurse is providing education to a client about self-management of minor bleeding episodes at home. Which instruction should the nurse include?

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A client is brought to the emergency department with suspected internal bleeding. Which assessment finding would the nurse identify as an early sign of compensatory response to hypovolemia?

A client is admitted to the hospital with a bleeding duodenal ulcer. What should the nurse identify as the primary cause of the ulcer?

A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. The client reports sudden difficulty breathing and chest pain. What is the nurse's immediate action?