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?
Gastric analysis
Abdominal ultrasound
Esophagogastroduodenoscopy (EGD)
Stool culture
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. A CT scan is a valuable diagnostic tool to identify the cause and source of bleeding, especially in cases of significant hemorrhage.
B) Incorrect. While a complete blood count (CBC) provides valuable information about the client's red blood cells and hemoglobin levels, it does not directly identify the cause and source of bleeding.
C) Incorrect. An electrocardiogram (ECG) is used to assess the heart's electrical activity and is not relevant to identifying the cause and source of bleeding.
D) Incorrect. Magnetic Resonance Imaging (MRI) is helpful in diagnosing various conditions but is not the primary test for identifying the cause and source of bleeding in a client with suspected hemorrhage.
Questions
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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