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A patient is diagnosed with acute gastritis. Which of the following interventions and assessments should the nurse consider to effectively manage this condition? (Select All that Apply.)

Encourage a diet high in fiber and spicy foods to promote digestion.

Administer antacids as prescribed to neutralize stomach acidity.

Recommend rigorous exercise to improve overall health.

Encourage the patient to drink milk frequently to coat the stomach lining.

Assess for pain and provide analgesics as prescribed, avoiding NSAIDs.

Instruct the patient to avoid caffeine, alcohol, and smoking.

Monitor for signs of gastrointestinal bleeding, such as hematemesis or melena.

Answer and Explanation

Correct Answer : B,E,F,G

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.

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Correct Answer is D

Explanation

A. Hyperactive bowel sounds are typically seen with diarrhea but are not a sign of hypokalemia.
B. Cerebral edema can occur with severe electrolyte imbalances, but it is not specifically related to hypokalemia caused by diarrhea.
C. Hypertension is not a typical symptom of hypokalemia; rather, hypokalemia often leads to low blood pressure.
D. Muscle weakness is a classic sign of hypokalemia because potassium is essential for proper muscle function, and low levels can impair contraction.

A. Hirsutism B. Bladder spasms C. Hyperglycemia D. Hypotension E. Delayed wound healing

Correct Answer is ["A","C","E"]

Explanation

A. Hirsutism (excessive hair growth) can occur due to corticosteroid use, as they can increase the production of androgens.
B. Bladder spasms are not typically associated with corticosteroid use but may occur with multiple sclerosis itself.
C. Hyperglycemia is a common side effect of corticosteroids, as they can impair insulin sensitivity.
D. Corticosteroids typically cause hypertension, not hypotension, as a side effect.
E. Delayed wound healing is a well-known side effect of corticosteroid therapy, as steroids can suppress immune function.

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A patient is diagnosed with acute gastritis. Which of the following interventions and assessments should the nurse consider to effectively manage this condition? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

Correct Answer is D

Explanation

A nurse is planning care for a client who has multiple sclerosis and is receiving methylprednisolone. Which of the following adverse effects should the nurse anticipate? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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