A client is receiving anticoagulant therapy to prevent blood clots. The nurse identifies a potential adverse effect of anticoagulation as:

Increased risk of bleeding.

Elevated blood pressure readings.

Hyperactivity and restlessness.

Increased blood viscosity.

Answer and Explanation

The Correct Answer is A

A) Correct. Anticoagulant therapy prevents blood from clotting effectively, which can lead to an increased risk of bleeding.

B) Incorrect. Anticoagulant therapy is not associated with elevated blood pressure readings.

C) Incorrect. Hyperactivity and restlessness are not typical adverse effects of anticoagulant therapy.

D) Incorrect. Anticoagulant therapy does not increase blood viscosity (thickness); instead, it reduces the blood's ability to form clots.

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Correct Answer is C

Explanation

A) Incorrect. Gastric analysis is not commonly used to confirm the presence of blood in the stomach or identify the source of bleeding.

B) Incorrect. Abdominal ultrasound may be helpful in evaluating certain abdominal conditions but is not the primary test for diagnosing upper gastrointestinal bleeding.

C) Correct. Esophagogastroduodenoscopy (EGD) is a direct visualization procedure that uses a flexible endoscope to examine the esophagus, stomach, and duodenum. It allows for visualization of the source of bleeding and potential interventions like cauterization or sclerotherapy.

D) Incorrect. Stool culture is used to detect gastrointestinal infections but is not specific to diagnosing upper gastrointestinal bleeding.

A. Elevated platelet count. B. Low prothrombin time (PT). C. Decreased ammonia levels. D. Elevated liver enzymes.

Correct Answer is A

Explanation

A) Correct. In liver cirrhosis, the damaged liver may sequester platelets, leading to a decreased platelet count. However, an elevated platelet count (thrombocytosis) can occur as a compensatory response to decreased liver function and is a sign of an increased risk of hemorrhage due to poor clot formation.

B) Incorrect. Low prothrombin time (PT) indicates faster clotting and is not associated with an increased risk of hemorrhage.

C) Incorrect. Decreased ammonia levels are a positive finding in liver cirrhosis, as elevated ammonia levels are harmful to the brain.

D) Incorrect. Elevated liver enzymes are indicative of liver damage, but they do not directly impact the client's risk of hemorrhage.

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A client is receiving anticoagulant therapy to prevent blood clots. The nurse identifies a potential adverse effect of anticoagulation as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a suspected upper gastrointestinal bleed. Which diagnostic test should the nurse anticipate to confirm the presence of blood in the stomach and differentiate the source of bleeding?

Correct Answer is C

Explanation

A nurse is caring for a client with liver cirrhosis. Which assessment finding supports the client's increased risk of hemorrhage?

Correct Answer is A

Explanation

A nurse is assessing a client who experienced a significant hemorrhage. Which clinical manifestation should the nurse expect to find during the early stages of hemorrhage?

A nurse is caring for a client with hypovolemic shock due to hemorrhage. Which intervention should the nurse prioritize during the initial resuscitation phase?

A nurse is educating a client about the risk factors for hemorrhage. Which statement made by the client requires further clarification?

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?

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

A client has experienced a significant hemorrhage and is at risk of developing anemia. Which dietary recommendation should the nurse provide to the client to support iron intake?

A nurse is providing education to a client with a bleeding disorder about home safety measures. What should the nurse include in the client's teaching?

A nurse is caring for a client with suspected hemorrhage. Which diagnostic test should the nurse anticipate to identify the exact location and cause of bleeding?