A 45-year-old patient presents with epigastric pain, nausea, and bloating. The physician suspects gastritis. Which diagnostic test would be most appropriate to confirm the presence of Helicobacter pylori infection as a cause of gastritis?
Complete blood count (CBC)
Serum amylase test
Fecal occult blood test
Urea breath test
The Correct Answer is D
A. A complete blood count (CBC) can be helpful in identifying anemia or infection but does not confirm Helicobacter pylori infection.
B. Serum amylase test helps in diagnosing pancreatitis, not gastritis. It is not appropriate for confirming
H. pylori infection.
C. A fecal occult blood test detects hidden blood in the stool, which may be present in conditions like
gastric ulcers, but it doesn’t specifically diagnose H. pylori infection.
D. The urea breath test is a non-invasive and highly effective diagnostic tool for detecting Helicobacter pylori infection. It helps identify the presence of the bacteria by detecting the breakdown of urea in the stomach, which is metabolized by H. pylori.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E","F","G"]
Explanation
A. A high-fiber and spicy diet could irritate the stomach lining, worsening acute gastritis.
B. Administering antacids can help neutralize stomach acid and relieve discomfort associated with gastritis.
C. Rigorous exercise is not recommended during an acute gastritis flare-up, as it could exacerbate symptoms.
D. Drinking milk is a common myth that milk can soothe gastritis; however, milk can stimulate acid production, which might worsen symptoms.
E. Pain should be assessed regularly, and analgesics should be administered as prescribed. NSAIDs should be avoided, as they can worsen gastritis.
F. Avoiding caffeine, alcohol, and smoking is crucial, as they can irritate the stomach lining and worsen symptoms of gastritis.
G. Monitoring for signs of gastrointestinal bleeding, such as hematemesis or melena, is important as acute gastritis can lead to bleeding.
Correct Answer is D
Explanation
A. Administering feeding solution directly from the refrigerator can cause discomfort to the patient and increase the risk of gastric upset.
B. Flushing the tube with cold water is not appropriate, as it may irritate the stomach and cause discomfort.
C. Positioning the patient supine at 30 degrees is unsafe, as it increases the risk of aspiration. The patient should be at a higher angle, typically 30-45 degrees.
D. Verifying the pH of gastric aspirate is crucial to ensure the feeding tube is in the correct position and to prevent aspiration of feeding material into the lungs.
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