Answer: The nurse is caring for a client with alcoholism who now presents with gastrointestinal bleeding, Increase in ammonia level is the alteration that the nurse anticipate related to the bleeding.
Explanation: The gastrointestinal(GI) bleed is something you'll encounter fairly frequently if you work in a medical unit or emergency department. Multiple types of GI bleeding exist... The patient doesn't even realize they are ill because of the slow, continuous bleeding until their hemoglobin level is so low that they are unable to breathe normally or get up without help. Then there are the emesis bleeds that resemble coffee grounds, the brilliant crimson "oh my my, what's that in the toilet" bleeds, and the terrifying upper GI bleed caused by a weak oesophagus.
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The change the nurse expects to see related to bleeding is an increase in ammonia level.
The gradual, constant GI bleeding causes the patient to not even be aware that they are ill until their haemoglobin level is so low that they are unable to breathe normally or get up without assistance.
Gastrointestinal (GI) bleeding is a symptom of some disorder in the digestive tract that causes mild to severe bleeding.
Haemoglobin is a protein inside red blood cells that carries oxygen from the lungs to tissues and organs in the body and carries carbon dioxide back to the lungs.
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