A nurse is assessing a client with suspected gastrointestinal bleeding. Which stool characteristic is a common clinical manifestation of upper gastrointestinal bleeding?

Bright red blood

Tarry and sticky appearance

Yellowish color

Clay-colored stools

Answer and Explanation

The Correct Answer is B

A) Incorrect. Bright red blood in the stool typically indicates lower gastrointestinal bleeding, such as from hemorrhoids or anal fissures.

B) Correct. A tarry and sticky appearance of the stool, also known as melena, is characteristic of upper gastrointestinal bleeding. The dark color is due to the digestion of blood in the stomach.

C) Incorrect. A yellowish color of the stool is not associated with gastrointestinal bleeding. It can be related to other factors like diet or liver issues.

D) Incorrect. Clay-colored stools are pale and occur with problems in the biliary system, not with gastrointestinal bleeding.

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Correct Answer is C

Explanation

A) Correct. Avoiding herbal supplements is important as some herbs can interact with anticoagulant medications and affect their effectiveness.

B) Correct. Notifying the healthcare provider about unusual

bruising is essential, as it may indicate potential bleeding complications associated with anticoagulant therapy.

C) Incorrect. Taking aspirin while on anticoagulant therapy can increase the risk of bleeding and is not recommended without medical guidance.

D) Correct. Carrying a medical alert card indicating anticoagulant use is crucial to inform healthcare providers about the client's medication regimen in case of emergency.

Questions

A. Client reports feeling dizzy and lightheaded. B. Client's blood pressure is slightly decreased. C. Client's skin is pale and cool to the touch. D. Client's heart rate is within the normal range.

Correct Answer is A

Explanation

A) Correct. Dizziness and lightheadedness are common signs of decreased blood flow, indicating a potential worsening of internal bleeding. Immediate intervention is required to prevent further complications.

B) Incorrect. While a slightly decreased blood pressure could be a concern, it may not be an immediate priority. The nurse should closely monitor the blood pressure and respond promptly if it drops significantly or trends downward.

C) Incorrect. Pale and cool skin may indicate poor perfusion, but it doesn't necessarily require immediate intervention unless it worsens or is accompanied by other alarming signs.

D) Incorrect. Although heart rate can be affected by hemorrhage, being within the normal range doesn't necessarily warrant immediate intervention. Other signs and symptoms should be considered as well.

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A nurse is assessing a client with suspected gastrointestinal bleeding. Which stool characteristic is a common clinical manifestation of upper gastrointestinal bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving anticoagulant therapy to prevent blood clots. Which statement by the client indicates a need for further education about the medication?

Correct Answer is C

Explanation

A nurse is caring for a client with suspected internal bleeding. Which assessment finding requires immediate intervention?

Correct Answer is A

Explanation

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