A nurse is taking care of a patient with a gastrointestinal bleed who is receiving intravenous fluids, packed red blood cell transfusion and proton pump inhibitor medication. The nurse would assess for all the following complications of a gastrointestinal bleed except for:
  1. Hemorrhagic shock
  2. Perforation
  3. Myocardial infarction
  4. Small bowel obstruction
Explanation
Answer: C - The nurse would assess for all of the following complications of a gastrointestinal bleed except for myocardial infarction which is not a primary complication of a gastrointestinal bleed. If the patient’s gastrointestinal bleed has been extensive, hemorrhagic shock can occur. When the erosion of the gastrointestinal tract occurs, perforation can occur.
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