During an assessment the nurse notifies the physician because a newly admitted patient is experiencing an upper gastrointestinal bleed
What findings would lead the nurse to this conclusion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Black tarry stool
2. Bright red bloody emesis
3. Bright red rectal bleeding
4. Emesis with coffee grounds
5. Bloody sputum
1,2,4
Rationale 1: Melena is a manifestation of upper gastrointestinal bleeding.
Rationale 2: Hematemesis is a manifestation of upper gastrointestinal bleeding.
Rationale 3: Hematochezia suggests a lower gastrointestinal bleed.
Rationale 4: Coffee ground emesis is seen in an upper gastrointestinal bleed that has slowed or stopped.
Rationale 5: Hemoptysis is not a manifestation of an upper gastrointestinal bleed.
You might also like to view...
The transfer of tissue between genetically identical individual (twins) is a(n) ________
ANS:
The nursing student is working to improve his time management. Which of the following would assist the nursing student in accomplishing his goal? Choose all that apply
A) Identify priorities for the day. B) Evaluate time management at the end of the day. C) Establish a reasonable time line. D) Plan to arrive right at start of shift. E) Plan on his cohorts helping him
During an assessment interview, a client frequently expresses concern about how her mental health problems will affect her grandmother
The client's grandmother, mother, and father attend a family session, during which the nurse frequently acknowledges the grandmother. In doing so, the nurse is demonstrating what? A) Confidentiality B) Empathy C) Trust D) Respect
A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe?(Select all that apply.)
1. Nasal congestion 2. Wheezing 3. Watery eyes 4. Sneezing 5. Urticaria