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 A

Explanation

A) Correct. Before administering a blood transfusion, obtaining informed consent from the client is essential to ensure the client understands the procedure, its potential risks, and provides their voluntary agreement for the transfusion.

B) Incorrect. While pain assessment is important, it is not the most crucial action before starting a blood transfusion.

C) Incorrect. Prophylactic antibiotics are not typically administered before a blood transfusion unless specifically indicated for the client's condition.

D) Incorrect. While taking vital signs is important, obtaining consent is more critical before starting a blood transfusion.

A. Arteriography B. Electrocardiogram (ECG) C. Chest X-ray D. Complete blood count (CBC)

Correct Answer is A

Explanation

A) Correct. Arteriography is a radiographic procedure that uses contrast dye to visualize the blood vessels and can precisely identify the location and cause of bleeding, especially in cases of significant hemorrhage.

B) Incorrect. An electrocardiogram (ECG) is used to assess the heart's electrical activity and is not relevant to identifying the location of bleeding.

C) Incorrect. A chest X-ray may be performed for various respiratory or cardiovascular assessments, but it is not specific to identifying the cause of bleeding.

D) Incorrect. A complete blood count (CBC) provides valuable information about the client's red blood cells and hemoglobin levels but does not directly identify the exact location and cause of bleeding.

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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 nurse is preparing to administer a blood transfusion to a client with hemorrhagic shock. Which action is essential before starting the transfusion?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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