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A patient is diagnosed with gastritis after presenting with abdominal discomfort and nausea. As a nurse, which interventions would be appropriate for managing this patient's condition?
(Select All that Apply.)

Advise the patient to take antacids only when severe pain occurs.

Instruct the patient to eat three large meals per day.

Encourage the patient to smoke to reduce stress.

Recommend increased intake of spicy foods to boost metabolism.

Suggest the patient use NSAIDS for pain relief.

Advise the patient to drink coffee to help with digestion.

Administer proton pump inhibitors as prescribed.

Encourage the patient to consume a bland diet.

Answer and Explanation

Correct Answer : G,H

A.   Advising the patient to take antacids only when severe pain occurs may not be effective. Antacids should be used regularly or as prescribed for consistent symptom relief.
B.   Instructing the patient to eat three large meals per day may exacerbate symptoms; smaller, more frequent meals are often better for managing gastritis.
C.   Encouraging smoking to reduce stress is harmful, as smoking can exacerbate gastritis and increase stomach acid production.
D.   Spicy foods should be avoided in gastritis, as they can irritate the stomach lining.
E.   NSAIDs should be avoided in gastritis because they can irritate the gastric mucosa and worsen symptoms.
F.   Coffee can stimulate acid production and may irritate the stomach lining, so it should be avoided.
G.   Proton pump inhibitors (PPIs) help reduce gastric acid secretion and are a mainstay treatment for gastritis.
H.   A bland diet is recommended, as it avoids irritating foods and allows the stomach lining to heal.

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Correct Answer is ["C","F","G"]

Explanation

A. Irritable bowel syndrome is not a complication of PUD, as they are different gastrointestinal disorders.
B. Diverticulitis is unrelated to PUD and involves inflammation of the diverticula in the colon.
C. Gastrointestinal bleeding is a common and serious complication of PUD, occurring due to ulceration of the stomach or duodenum lining.
D. Chronic pancreatitis is not a typical complication of PUD, but it involves inflammation of the pancreas, not the stomach or duodenum.
E. Celiac disease is unrelated to PUD and involves an autoimmune reaction to gluten in the small intestine.
F. Perforation of the stomach or duodenum is a severe complication of PUD, leading to a life-threatening condition with leakage of stomach contents into the abdominal cavity.
G. Gastric outlet obstruction occurs when an ulcer causes scarring and narrowing of the pyloric canal, impeding gastric emptying.
H. Appendicitis is unrelated to PUD, as it involves inflammation of the appendix, not the stomach or duodenum.

A. Dextrose 10% in water B. 25% albumin C. Dextrose 5% in water D. Dextran 40

Correct Answer is C

Explanation

A. Dextrose 10% in water is hypertonic and would exacerbate hypernatremia by further increasing sodium levels.
B. 25% albumin is not appropriate for treating hypernatremia and is typically used for volume expansion in cases of shock or hypoalbuminemia.
C. Dextrose 5% in water is an isotonic solution that helps dilute sodium levels and correct hypernatremia gradually.
D. Dextran 40 is a volume-expanding agent, not suitable for treating hypernatremia.

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A patient is diagnosed with gastritis after presenting with abdominal discomfort and nausea. As a nurse, which interventions would be appropriate for managing this patient's condition? (Select All that Apply.)

Nursing Test Bank

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A patient is diagnosed with gastritis after presenting with abdominal discomfort and nausea. As a nurse, which interventions would be appropriate for managing this patient's condition?
(Select All that Apply.)