The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?

Epigastric fullness and increasing combativeness

Yellow sclera, hypertension, and hypoalbuminemia

Bradycardia, lethargy, and hypotension

Tachycardia, restlessness, and pallor

Answer and Explanation

The Correct Answer is D

Choice A reason: Epigastric fullness may suggest variceal pressure, but combativeness isn’t typical early bleeding; it’s more neurological, not a direct blood loss sign.

Choice B reason: Yellow sclera and hypoalbuminemia reflect liver dysfunction, not acute bleeding; hypertension contradicts blood loss, which lowers pressure initially.

Choice C reason: Bradycardia and lethargy occur late in severe hypovolemia, not early; hypotension fits bleeding but isn’t paired with early compensatory signs here.

Choice D reason: Tachycardia compensates for early blood loss in varices, restlessness reflects hypoxia, and pallor shows reduced perfusion, all classic initial bleeding indicators.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Dexamethasone, a steroid, reduces inflammation but doesn’t dissolve or prevent pulmonary embolism clots, irrelevant to acute anticoagulation needs here.

Choice B reason: Heparin, an anticoagulant, prevents clot growth in pulmonary embolism, stabilizing it to reduce further lung vessel occlusion, the standard initial treatment.

Choice C reason: Atropine treats bradycardia by increasing heart rate, not addressing pulmonary embolism’s clot, which requires anticoagulation, not cardiac pacing.

Choice D reason: Furosemide, a diuretic, manages fluid overload but doesn’t affect pulmonary embolism’s thrombus, focusing on volume, not clot dissolution or prevention.

A. Weigh the client B. Place the client in high Fowler’s position C. Administer pain medications D. Place the client in Trendelenburg position

Correct Answer is A

Explanation

Choice A reason: Weighing assesses fluid status pre-dialysis, guiding ultrafiltration goals in peritoneal dialysis to remove excess fluid safely, the priority for efficacy and safety.

Choice B reason: High Fowler’s aids breathing but isn’t critical pre-dialysis; semi-Fowler’s is used during, not before, making this secondary to weight assessment.

Choice C reason: Pain medication eases discomfort during dialysis but isn’t the priority; weight determines fluid removal needs first, ensuring treatment accuracy.

Choice D reason: Trendelenburg position aids hypotension, not routine pre-dialysis preparation, irrelevant to starting peritoneal dialysis compared to weight’s foundational role.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?

Correct Answer is B

Explanation

A client is scheduled to receive peritoneal dialysis. Which of the following is the highest priority action that the nurse should perform before starting dialysis?

Correct Answer is A

Explanation

The nurse is caring for a client admitted with acute diverticulitis. Which would the nurse anticipate the healthcare provider ordering for this client?

Which of the following manifestations may indicate that a client has systemic lupus erythematosus (SLE)? (Select all that apply)

The nurse is caring for a client with hyperparathyroidism. Which of the following orders from the healthcare provider can be expected to reduce the client's overproduction of calcium? (Select all that apply)

A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority?

The nurse is caring for the following clients. Which client should the nurse assess first?

The nurse is educating a client on foods to avoid when taking iodine supplements in a client with Graves' disease. Which of the following would be included in this teaching plan? (Select all that apply)

What is the priority of care for a child who was recently diagnosed with celiac disease?

The nurse is providing education to a client who is newly diagnosed with lupus. Which of the following statements would require further teaching?