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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. High-intensity weight-bearing exercises can exacerbate pain in patients with osteoarthritis and is not appropriate for alleviating knee stiffness.
B. Calcium and vitamin D supplementation is important for bone health, but it will not directly address the pain and stiffness associated with osteoarthritis.
C. Avoiding physical activity is not recommended for osteoarthritis; instead, moderate exercise can help improve joint function.
D. Applying heat therapy to the affected joints before engaging in physical activity is an effective method for alleviating stiffness and promoting mobility. Heat helps relax muscles and improve blood flow to the affected area.
Correct Answer is B
Explanation
A. Iron deficiency anemia typically presents with a low MCV, not an elevated MCV, and it is less likely to be associated with the symptoms of glossitis and peripheral neuropathy.
B. Vitamin B12 deficiency anemia is a likely diagnosis in this patient. Chronic alcohol use can lead to malabsorption of vitamin B12, which contributes to macrocytic anemia (high MCV). Symptoms like glossitis and peripheral neuropathy are common in B12 deficiency.
C. Thalassemia minor usually presents with microcytic anemia and would not typically cause the elevated MCV or neurological symptoms seen in this patient.
D. Anemia of chronic disease typically presents with a normal or low MCV and is not associated with elevated MCV or the neurological symptoms seen in this patient.
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