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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

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.

A. Decreased blood pressure B. Metabolic acidosis C. Hypocalcemia D. Increased urine specific gravity

Correct Answer is B

Explanation

A. Decreased blood pressure is not typically associated with contrast-induced nephropathy. In fact, patients may present with normal or elevated blood pressure, especially in those with a history of chronic hypertension.
B. Metabolic acidosis is a common complication of acute kidney injury (AKI), including contrast-induced nephropathy. As kidney function declines, the kidneys' ability to excrete acids diminishes, leading to the accumulation of acids in the blood and resulting in metabolic acidosis.
C. Hypocalcemia is not a common feature of contrast-induced nephropathy. While AKI can cause disturbances in calcium and phosphate balance, hypocalcemia is not typically a predominant finding.
D. Increased urine specific gravity may not be a significant finding in contrast-induced nephropathy. This condition generally leads to impaired kidney function, which may present with urine output changes, but urine specific gravity can vary depending on the stage of AKI.

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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

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has hypernatremia. Which of the following IV solutions should the nurse plan to initiate?

Correct Answer is C

Explanation

A 72-year-old patient with a history of chronic hypertension is diagnosed with acute kidney injury (AKI) secondary to contrast-induced nephropathy. Which clinical finding would most likely be present in this patient?

Correct Answer is B

Explanation

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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.)