A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse assesses the patient's stool after a bowel movement and notes it to be a tarry-black color. The nurse recognizes that the bleeding is likely occurring where?
A) The lower GI tract
B) The upper GI tract
C) The esophagus
D) The anal area
Ans: B
Feedback: Blood shed in sufficient quantities in the upper GI tract will produce a tarry-black color (melena). Blood entering the lower portion of the GI tract or passing rapidly through it will appear bright or dark red. Lower rectal or anal bleeding is suspected if there is streaking of blood on the surface of the stool or if blood is noted on toilet tissue.
You might also like to view...
A nurse in the ICU is known for the personal care and attention he gives to each of his patients. He takes time to learn his patients' names and the names of their families
He is especially gentle when drawing blood from children or administering injections to older patients. He is also good at leaving his work concerns at work and focusing on his family when at home. However, his lack of interest in pursuing further credentials and his lack of initiative in tackling problems that arise in the ICU have limited his career opportunities. Which professional practice attribute or attributes does this nurse demonstrate? Select all that apply. A) Values B) Mastery C) Balance D) Action
The nurse stays informed of events that impact the community by going to public forums to learn more about various issues. The nurse also joins the state nursing organization. In this role, the nurse is a(n):
1. Citizen. 2. Activist. 3. Politician. 4. Researcher.
Which statement made by a client who has agoraphobia and does not leave her home identifies the
thinking typical of a client with this disorder? a. "I know I'll get over not wanting to leave home soon; it just takes time.". b. "When I have a good incentive to go out, I'll be able to do it.". c. "My husband and kids tell me they like it now that I stay home.". d. "Being afraid to go out seems ridiculous, but I can't go out the door.".
A patient, vomiting bright red blood, is scheduled for an endoscopy procedure. The patient asks the nurse what the procedure will do. Which of the following should the nurse respond to the patient?
1. The area of bleeding can be seen so surgery can be planned to remove it. 2. A cold material can be applied to the bleeding area to stop the bleeding. 3. A chemical can be injected into the bleeding vessel to stop it from bleeding. 4. A laser can be used on the bleeding areas to stop any possibilities of bleeding again.