A nurse is caring for a client who has an active upper gastrointestinal bleed. After inserting an NG tube into the client, which of the following findings should the nurse anticipate?
Frothy pink drainage
Greenish-yellow drainage
Dark amber drainage
Coffee-ground drainage
The Correct Answer is D
A. Frothy pink drainage is more characteristic of recent or active bleeding rather than an upper gastrointestinal bleed.
B. Greenish-yellow drainage typically indicates bile or gastric secretions rather than blood.
C. Dark amber drainage might suggest older, degraded blood but is less specific to an active upper GI bleed.
D. Coffee-ground drainage is indicative of older, partially digested blood and is expected in cases of upper gastrointestinal bleeding due to the breakdown of blood in the stomach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assistive personnel typically do not have the training or authority to perform the critical double-check of blood products.
B. An oncology nurse is a qualified staff member who has the necessary training and experience to correctly verify blood labels and client ID bracelets before transfusion.
C. A phlebotomist is trained in blood collection but is not generally authorized to perform blood transfusion verifications.
D. A senior nursing student may not have the required certification or experience to safely double-check blood transfusion products.
Correct Answer is D
Explanation
A. A febrile reaction is typically characterized by fever and chills but does not usually cause red-tinged urine.
B. Acute pain is not a specific reaction associated with blood transfusions and does not match the described symptoms.
C. An allergic reaction is more likely to cause hives or itching rather than fever and red-tinged urine.
D. Hemolytic transfusion reactions are associated with fever, chills, and red-tinged urine due to the breakdown of red blood cells and are a serious complication that requires immediate attention.
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