What is the most appropriate method for controlling bleeding at this wound site?

Place a warm pack on the bleeding site.

Apply a tourniquet above the bleeding site.

Direct pressure or sterile pressure dressing and elevation of the extremity.

Place an ice pack on the bleeding site.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Applying a warm pack is inappropriate for controlling active bleeding, as it can exacerbate blood flow to the site, worsening the hemorrhage rather than controlling it effectively.

Choice B rationale

Using a tourniquet above the bleeding site is a last-resort method typically reserved for life-threatening bleeding. It may cause complications such as nerve damage or ischemia, so other measures are prioritized first.

Choice C rationale

Direct pressure or sterile pressure dressing with elevation minimizes blood loss effectively by compressing the damaged vessels, promoting clot formation, and utilizing gravity to reduce the pressure at the wound site. It is the recommended first-line method.

Choice D rationale

Placing an ice pack on the bleeding site may reduce localized blood flow by inducing vasoconstriction but is less effective than direct pressure for stopping active hemorrhage. It is secondary to other control measures.

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Correct Answer is D

Explanation

Choice A rationale

Chewing gum can increase salivary production, and while saliva may neutralize some stomach acid, the act of chewing can stimulate swallowing and possibly exacerbate symptoms by introducing excess air into the stomach. For GERD patients, avoiding gum may help reduce bloating and gas discomfort.

Choice B rationale

Elevating the head of the bed reduces the likelihood of acid reflux during sleep by using gravity to prevent stomach contents from flowing backward into the esophagus. This strategy aligns with GERD management guidelines and reduces nighttime symptoms.

Choice C rationale

Taking antacids between meals and at bedtime helps neutralize stomach acid temporarily, providing short-term relief of GERD symptoms. While effective, long-term use without addressing dietary and lifestyle factors is not ideal for managing GERD.

Choice D rationale

Eating small meals is beneficial for GERD, as it prevents overdistension of the stomach, but having a bedtime snack contradicts GERD management principles. Late-night eating may increase the risk of acid reflux when lying down, thus requiring more teaching.

A. Endoscopy procedures. B. Proton pump inhibitors. C. Radionuclide tests. D. A barium swallow.

Correct Answer is B

Explanation

Choice A rationale

Endoscopy is a diagnostic procedure used for evaluating persistent or severe symptoms of heartburn, but it is not part of initial treatment. Patient education focuses on symptom relief and management strategies before invasive testing.

Choice B rationale

Proton pump inhibitors reduce gastric acid secretion by irreversibly blocking H+/K+ ATPase in stomach parietal cells. They are first-line medications for heartburn and gastroesophageal reflux disease, effectively relieving symptoms and preventing complications.

Choice C rationale

Radionuclide tests are specialized diagnostic procedures for conditions such as gastric emptying disorders. They are not standard educational topics for new heartburn complaints, as they do not provide immediate symptom relief.

Choice D rationale

A barium swallow is used for imaging structural abnormalities of the esophagus or stomach but is not part of initial management for heartburn. It is a diagnostic tool rather than a first-line treatment or educational focus. .

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What is the most appropriate method for controlling bleeding at this wound site?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has gastroesophageal reflux disease (GERD) is experiencing increasing discomfort.Which patient statement to the nurse indicates that additional teaching about GERD is needed?

Correct Answer is D

Explanation

What should the nurse anticipate teaching a patient with a new report of heartburn?

Correct Answer is B

Explanation

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