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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. Hemoglobin levels may initially be normal or slightly decreased, but they would decrease later due to the body's compensatory response to dilute the remaining blood.
B) Incorrect. Platelet count may not be significantly affected in the early stages of hemorrhage. It is mainly responsible for clot formation, which becomes more relevant in the later stages.
C) Incorrect. In the early stages of hemorrhage, the white blood cell count is not significantly affected. It plays a role in fighting infection and inflammation.
D) Correct. Hematocrit levels represent the proportion of red blood cells in the blood. During early stages of hemorrhage, there is a loss of red blood cells, leading to decreased hematocrit levels.
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.
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