The nurse is preparing a teaching plan for a patient being discharged after an acute episode of upper G.I. bleeding. What important information should the teaching plan include? Select all that apply.

Taking all drugs one hour before mealtime to prevent complications

Limiting alcohol intake to one to two servings per day

Avoiding taking aspirin and drugs containing aspirin

Only take aspirin with milk or bread products

Only taking drugs prescribed by the healthcare provider

Answer and Explanation

Correct Answer : C,E

A. Taking all drugs one hour before mealtime is not typically recommended for patients recovering from upper G.I. bleeding. Medications like proton pump inhibitors or antacids may be prescribed to reduce stomach acid, but timing varies. The patient should follow the specific instructions given by the healthcare provider regarding medication administration, especially in the context of G.I. issues.
B. Limiting alcohol intake is important for general health, but after an episode of upper G.I. bleeding, alcohol should be avoided or minimized entirely. Alcohol can irritate the stomach lining and increase the risk of further bleeding. The healthcare provider may recommend complete abstinence from alcohol during recovery.
C. Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) can cause irritation of the stomach lining and increase the risk of bleeding, so they should be avoided after an episode of upper G.I. bleeding. This is crucial for preventing recurrence of bleeding.
D. Taking aspirin with milk or bread does not negate its potential for irritation or bleeding risk. Patients recovering from upper G.I. bleeding should avoid aspirin entirely unless specifically directed otherwise by the healthcare provider.
E. Only taking drugs prescribed by the healthcare provider is essential. Over-the-counter medications, especially NSAIDs, should be avoided unless directed by a healthcare provider, as they can exacerbate the risk of further G.I. bleeding.

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Correct Answer is B

Explanation

A. Administering anticoagulant medications is contraindicated in patients with bleeding esophageal varices. Anticoagulants could worsen bleeding and complicate the condition further. The goal in managing esophageal varices is to control the bleeding, not to increase the risk of bleeding.
B. Monitoring vital signs frequently is critical in patients with bleeding esophageal varices, as they are at risk for hypovolemic shock. Vital signs should be monitored closely to assess for signs of bleeding, hemodynamic instability, and response to interventions. Typically, more frequent monitoring (every 15 minutes initially, then every hour) is indicated, not just every 4 hours.
C. A high-fiber diet is not appropriate for patients with bleeding esophageal varices. This can increase intra-abdominal pressure and may worsen bleeding. The diet should be tailored to the patient's needs, typically involving low-residue or soft foods depending on their condition.
D. Assisting with the insertion and removal of the balloon tamponade device should be done by a skilled provider, not the nurse. The nurse's role involves monitoring for complications, ensuring proper positioning, and assessing the patient's response to treatment.

A. "Strictureplasty is a non-surgical procedure that uses medications to treat strictures." B. "Strictureplasty is a procedure used to remove strictures in the gastrointestinal tract." C. "Strictureplasty is a surgical technique used to repair fractures in bones." D. "Strictureplasty is commonly performed in the treatment of Crohn's disease."

Correct Answer is D

Explanation

A. Strictureplasty is a surgical procedure, not a non-surgical procedure. It is used to treat strictures by widening them, typically in the gastrointestinal tract.
B. Strictureplasty does not remove strictures but rather works to widen or repair the narrowed areas, allowing for improved passage through the affected part of the gastrointestinal tract.
C. Strictureplasty is not used to repair fractures in bones. It is specifically used in the gastrointestinal system to treat strictures.
D. Strictureplasty is commonly performed in the treatment of Crohn's disease, particularly in cases where the disease causes strictures in the intestines. It is a procedure that can help maintain the integrity of the intestine by widening narrowed areas without the need for resection.

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The nurse is preparing a teaching plan for a patient being discharged after an acute episode of upper G.I. bleeding. What important information should the teaching plan include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is being treated for bleeding esophageal varices with balloon tamponade. Which of the following nursing actions will the nurse include in the plan of care?

Correct Answer is B

Explanation

Which of the following statements about strictureplasty is correct?

Correct Answer is D

Explanation

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