The nurse is completing the assessment of a patient admitted with an upper gastrointestinal bleed
Which risk factors should the nurse be certain to ask about during the assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. History of H. pylori
2. Routine use of NSAIDs
3. Use of aspirin
4. History of smoking
5. Diagnosis of diabetes
1,2,3,4
Rationale 1: Helicobacter pylori cause the mucosa to be more susceptible to peptic acid damage and possible upper gastrointestinal bleeding.
Rationale 2: Nonsteroidal anti-inflammatory drugs (NSAIDs) cause local and systemic effects that promote mucosal damage and potential gastrointestinal bleeding.
Rationale 3: Aspirin causes local and systemic effects that promote mucosal damage and potential gastrointestinal bleeding.
Rationale 4: Smoking is thought to increase the risk of developing ulcers and impair their healing.
Rationale 5: Diabetes is not a risk factor for the development of gastrointestinal bleeding.
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