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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Drinking fruit juices instead of whole fruits may increase blood sugar levels due to the lack of fiber in juices. Whole fruits are better for blood glucose control.
B. Eliminating all carbohydrates is not advisable, as carbohydrates are necessary for energy. A balanced diet with controlled carbohydrates is recommended.
C. Increasing the intake of high-fiber foods like vegetables and whole grains helps regulate blood glucose levels by slowing digestion and improving insulin sensitivity.
D. Consuming high-protein, high-fat meals could negatively affect blood sugar levels and cardiovascular health, which is a concern for diabetics.
Correct Answer is C
Explanation
A. Vitamin B12 deficiency anemia typically presents with larger red blood cells (high MCV) and neurological symptoms, which are not present in this case.
B. Aplastic anemia typically results in pancytopenia, and there is no mention of other blood cell line abnormalities.
C. Iron deficiency anemia is the most likely diagnosis, as it is characterized by low hemoglobin levels and a low MCV (microcytic anemia), which is consistent with the laboratory results.
D. Hemolytic anemia generally presents with elevated reticulocyte count and jaundice, neither of which are mentioned here.
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