Question

36. A nurse is assigned to four clients who have been diagnosed with gastric ulcers. Which one of these clients should the nurse conclude is most at risk to develop gastrointestinal (GI) bleeding? a. A 40-year-old client who is positive for Helicobacter pylori (H. pylori) b. A 45-year-old client who drinks 4 ounces of alcohol a day. c. 70-year-old client who takes aspirin Ecotrin 81 mg daily to prevent coronary artery disease d. 30-year-old pregnant client who uses of alcohol a day acetaminophen (Tylenol) as needed for headaches 37. A nurse is performing an initial postoperative assessment on a client following upper gastrointestinal surgery the client has a nasogastric tube to low intermittent suction to best assess the presence of bowel sounds the nurse should a. Place the stethoscope to the left of the umbilicus b. Turn off the nasogastric suction c. Turn the suction on the nasogastric tube to continuous d. Use the bell of the stethoscope

Answer 1

1) A 30 year old pregnant client who uses alcohol a day and acetaminophen as needed for headache is at high risk of developing gastrointestinal bleeding. Alcohol on large amounts over a period of time can lead to gastritis resulting in GI bleeding. When alcohol is consumed along with NSAIDs like aspirin, paracetamol etc are at high risk of bleeding.

2) place the stethoscope to the left of umbilicus to hear the bowel sound in a proper way. The diaphragm of the stethoscope should be applied to the abdominal wall with firm but gentle pressure.