The nurse provides education for a patient about the treatment for acute gastritis. Which patient statement requires correction by the nurse?

“I’m going for a drink with my coworkers.”.

“I’m going to eat six small meals each day.”.

“I may need to take an antacid for pain.”.

“I have to avoid eating spicy foods.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Alcohol can irritate the stomach lining and exacerbate the symptoms of gastritis. Therefore, the patient should avoid alcohol to help manage their condition.
Choice B rationale
Eating six small meals each day can help manage gastritis by preventing the stomach from being empty for too long, which can increase stomach acid and irritate the stomach lining. This statement does not require correction.
Choice C rationale
Antacids can help manage the pain associated with gastritis by neutralizing stomach acid. This statement does not require correction.
Choice D rationale
Spicy foods can irritate the stomach lining and exacerbate the symptoms of gastritis. Avoiding spicy foods can help manage the condition. This statement does not require correction.

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Correct Answer is A

Explanation

Choice A rationale
Limiting the intake of fluids during meals can help prevent dumping syndrome after a gastrectomy. Drinking fluids during meals can speed up gastric emptying, leading to a rapid release of glucose into the bloodstream and causing symptoms of dumping syndrome.
Therefore, it’s recommended to drink fluids between meals rather than with meals.
Choice B rationale
Maintaining a high Fowler’s position during meals is not typically recommended to prevent dumping syndrome. This position does not have a significant impact on the speed of gastric emptying.
Choice C rationale

Urinating after a meal does not help prevent dumping syndrome. Dumping syndrome is related to the speed of gastric emptying, not urinary habits.
Choice D rationale
Consuming high-carbohydrate foods can actually exacerbate dumping syndrome. High- carbohydrate foods can cause a rapid increase in blood glucose levels, followed by a rapid drop, leading to symptoms of dumping syndrome.

A. Bradycardia B. Hyperactive bowel sounds C. Severe upper abdominal pain D. Report of epigastric fullness

Correct Answer is C

Explanation

Choice A rationale
Bradycardia, or a slower than normal heart rate, is not typically a sign of gastrointestinal perforation in peptic ulcer disease25.
Choice B rationale
Hyperactive bowel sounds are not typically a sign of gastrointestinal perforation in peptic ulcer disease25.
Choice C rationale
Severe upper abdominal pain is a common sign of gastrointestinal perforation in peptic ulcer disease25. The pain is often sudden and severe, and it may spread to the back or shoulder.
Choice D rationale
A report of epigastric fullness is not typically a sign of gastrointestinal perforation in peptic ulcer disease25.

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The nurse provides education for a patient about the treatment for acute gastritis. Which patient statement requires correction by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to a client who has undergone a gastrectomy. Which strategy should the nurse include in the teaching to help prevent dumping syndrome?

Correct Answer is A

Explanation

A nurse is gathering data from a client who has peptic ulcer disease. Which of the following findings is a sign of gastrointestinal perforation?

Correct Answer is C

Explanation

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