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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 D

Explanation

A. A blood glucose level of 140 mg/dL is too low for DKA, which typically involves hyperglycemia above 250 mg/dL.
B. A blood glucose level of 180 mg/dL and normal ketone levels are inconsistent with DKA, as DKA involves both high glucose and elevated ketones.
C. A blood glucose level of 250 mg/dL with normal ketone levels would not suggest DKA. Elevated ketones are a critical part of diagnosing DKA.
D. A blood glucose level of 600 mg/dL with elevated ketone levels in blood and urine confirms DKA, a life-threatening complication of Type 1 diabetes.

A. Presence of anti-cyclic citrullinated peptide (anti-CCP) antibodies B. Elevated rheumatoid factor (RF) levels C. Decreased erythrocyte sedimentation rate (ESR) D. Elevated C-reactive protein (CRP) levels

Correct Answer is D

Explanation

A. Anti-cyclic citrullinated peptide (anti-CCP) antibodies are specific for rheumatoid arthritis but are not necessarily linked to disease activity.
B. Elevated rheumatoid factor (RF) levels are common in rheumatoid arthritis but not always indicative of disease activity.
C. A decreased erythrocyte sedimentation rate (ESR) is typically a sign of less inflammation, not more.
D. Elevated C-reactive protein (CRP) levels are a direct marker of inflammation and are often correlated with increased disease activity in rheumatoid arthritis.

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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.)

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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.)