The nurse assesses a patient and immediately notifies the physician because of findings consistent with a gastrointestinal bleed
What did the nurse assess in the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Melena
2. Hematemesis
3. Confusion
4. Blood pressure of 180 /100 mm Hg
5. Absent bowel sounds
1,2
Rationale 1: Melena is a common manifestation of gastrointestinal bleeding.
Rationale 2: Hematemesis is a common manifestation of gastrointestinal bleeding.
Rationale 3: Confusion is not a common manifestation of gastrointestinal bleeding.
Rationale 4: An elevated blood pressure is not a common manifestation of gastrointestinal bleeding.
Rationale 5: The absence of bowel sounds is not a common manifestation of gastrointestinal bleeding.
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