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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. Applying soft restraints during a seizure could increase the risk of injury and is not recommended.
B. Administering lorazepam is often necessary in seizures, but the priority during a seizure is ensuring the airway is open and the patient is in a safe position.
C. Obtaining a seizure history is important but should be done after managing the acute situation.
D. The priority during a seizure is to ensure the patient's airway is open and to position them on their side to prevent aspiration and facilitate breathing.

A. Administer the feeding solution directly from the refrigerator. B. Flush the tube with 10 mL of cold water C. Position the patient supine at 30 degrees. D. Verify the pH of gastric aspirate is less than 5.0.

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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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.)

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