Stomach Disorders....

Reducing caffeine intake

A nutritionist is asked to assist in forming a plan for a patient with A nutritionist is asked to assist in forming a plan for a patient with peptic ulcer disease (PUD). Which recommendation is most helpful for this patient? a. Reducing caffeine intake b. Consuming marshmallows to reduce PUD symptoms c. Taking a dose of syrup of ipecac with each meal d. Increasing spicy food to destroy pylori bacteria

d. ''It produces an enzyme that alters the pH of the gastric environment.'

A patient asks the nurse how an infection such as H. pylori can cause gastric ulcers. What does the nurse tell the patient about this organism? a. 'It causes direct damage to the gastric mucosa. b. ''It reduces the function of the pyloric sphincter, causing reflux. c. ''It secretes acid that reduces the integrity of the mucosal barrier. d. ''It produces an enzyme that alters the pH of the gastric environment.'

b. gastric ulcer

A patient being evaluated for a gastric ulcer reports sharp, burning left-sided upper epigastric pain, which increases with food. The nurse notes epigastric tenderness, a soft abdomen, and normally active bowel sounds. Based on these findings, which condition does the nurse suspect? a. Perforation b. GastricUlcer c. Duodenal ulcer d.Pyloric sphincter dysfunction

c. Nausea and vomiting Nausea and vomiting are symptoms of chronic PUD due to stasis and gastric dilation associated with pyloric obstruction. Abdominal bloating is another symptom of obstruction. A tender, board-like abdomen is a sign of peritonitis due to peptic ulcer perforation. The patient may have metabolic alkalosis due to the loss of large quantities of acid gastric juice in the vomitus. Vomiting or metabolic alkalosis may cause hypo kalemia.

A patient is admitted with chronic peptic ulcer disease (PUD). What sign or symptom is suggestive of a pyloric obstruction? a. Hyperkalemia. b. Metabolic acidosis c. Nausea and vomiting d. Tender and board-like abdomen

a. Starting a large-bore IV

A patient is experiencing bleeding related to peptic ulcer disease (PUD). Which nursing intervention is the highest priority? a. Starting a large-bore IV b. Administering IV pain medication c. Preparing equipment for intubation d. Monitoring the patient's anxiety level

. 'Consume a high-fiber diet to minimize constipation.'

A patient is prescribed sucralfate to treat symptoms of peptic ulcer disease. What information does the nurse include when teaching the patient about this medication? a. 'Eat a small meal at bedtime to alleviate pain. b. 'Moderate amounts of wine may be consumed. c. ''Take sucralfate with food to help with absorption. d. 'Consume a high-fiber diet to minimize constipation.'

'Tums will cause rebound acid secretion, which will make symptoms worse.'

A patient tells the nurse that calcium carbonate has been effective in treating the discomfort associated with peptic ulcer disease. What does the nurse tell this patient? a. 'Tums will cause rebound acid secretion, which will make symptoms worse.' b. 'This drug is a potent antacid and should be continued since it is inexpensive. c. 'Calcium carbonate will help smaller ulcers to heal and may be used long- term.' d. 'Tums is not known to alleviate symptoms, so you are experiencing a placebo effect.'

'Take the phenytoin 1 to 2 hours before or after the antacid.'

A patient who currently takes phenytoin has been started on a multidrug regimen for treatment of peptic ulcer disease. What does the nurse tell this patient about taking these medications? a. 'These medications may be taken at the same time.' b. 'Discuss discontinuing the phenytoin with your provider. c. 'Expect increased antacid effects when taking phenytoin. d. 'Take the phenytoin 1 to 2 hours before or after the antacid.'

b. Pernicious anemia

A patient who has chronic gastritis is at increased risk for which condition? a. Appendicitis b. Pernicious anemia c. Chronic constipation d. Irritable bowel syndrome

pernicious anemia

A patient who has chronic gastritis is at increased risk for which condition? a.Appendicitis b. Pernicious anemia c. Chronic constipation d. Irritable bowel syndrome

Magaldrate

A patient with a history of heart failure is to be prescribed an antacid to help with symptoms of peptic ulcer disease. Which antacid does the nurse expect the provider to order for this patient? a. Magaldrate b. Calcium carbonate c. Aluminum hydroxide d. Magnesium hydroxide

Maintain nasogastric suction

A patient with a nasogastric (NG) tube in place to help treat a gastric ulcer develops severe epigastric pain, and the nurse notes a rigid, board-like abdomen. The nurse notifies the provider of this condition. Which action does the nurse take next? a. Maintain nasogastric suction b. Withdraw the NG tube immediately c. Check for placement of the NG tube d. Irrigate the NG tube with saline solution

Curling's ulcer

A patient with extensive burns reports severe abdominal pain and blood-tinged vomitus. Which ulcers might be the reason behind the patient's condition? a. Peptic ulcer b. Ischemic ulcer c. Curling's ulcer d. Cushing's ulcer

'If you are concerned that you are at high risk, I recommend speaking to your provider about the possibility of genetic testing.''

A patient with peptic ulcer disease (PUD) asks the nurse whether a maternal history of gastric cancer will cause the patient to develop gastric cancer. What is the nurse's best response? a. 'Have you spoken to your health care provider about your concerns?' b. 'Yes, it is known that a family history of gastric cancer will cause someone to develop gastric cancer.' c. 'I wouldn't be too concerned about that as long as your diet limits pickled, salted, and processed food.' d. 'If you are concerned that you are at high risk, I recommend speaking to your provider about the possibility of genetic testing.'

d. 'If you are concerned that you are at high risk, I recommend speaking to your provider about the possibility of genetic testing.'

A patient with peptic ulcer disease (PUD) asks the nurse whether a maternal history of gastric cancer will cause the patient to develop gastric cancer. What is the nurse's best response? a. 'Have you spoken to your health care provider about your concerns?' b. 'Yes, it is known that a family history of gastric cancer will cause someone to develop gastric cancer.' c. 'I wouldn't be too concerned about that as long as your diet limits pickled, salted, and processed food.' d. 'If you are concerned that you are at high risk, I recommend speaking to your provider about the possibility of genetic testing.'

'These herbs could be helpful. However, you should talk with your provider before adding them to your treatment regimen.'

A patient with peptic ulcer disease (PUD) asks the nurse whether licorice and slippery elm might be useful in managing the disease. What is the nurse's best response? a. 'No, they probably won't be useful. You should use only prescription medications in your treatment plan.' b. 'These herbs could be helpful. However, you should talk with your provider before adding them to your treatment regimen.' c. 'Yes, these are known to be effective in managing this disease, but make sure you research the herbs thoroughly before taking them.' d. 'No, herbs are not useful for managing this disease. You can use any type of over-the-counter drugs though. They have been shown to be safe.'

Acute gastritis In acute gastritis, the gastric mucosa becomes red and thickened with prominent rugae due to inflammation from being exposed to local irritants. Chronic gastritis appears as a patchy, spread out inflammation of mucosal lining of the stomach. Atrophic gastritis is a type of chronic gastritis most often found in older adults. Type A chronic gastritis is also associated with inflammation of glands, whereas Type B chronic gastritis mainly involves the glands of the antrum.

The endoscopy of a patient reveals a reddened and thick mucosal membrane around the stomach with prominent rugae. What condition does the patient have? a. Acute gastritis b. Atrophic gastritis c. Type A chronic gastritis d. Type B chronic gastritis

a. Acute gastritis

The endoscopy of a patient reveals a reddened and thick mucosal membrane around the stomach with prominent rugae. What condition does the patient have? a. Acute gastritis b. Atrophic gastritis c. Type A chronic gastritis d. Type B chronic gastritis

A large-bore NG tube is required for gastric lavage.

The nurse inserts a nasogastric (NG) tube for gastric lavage in a patient who is vomiting blood. What is the appropriate practice for gastric lavage? a. A large-bore NG tube is required for gastric lavage. b. Cold water is instilled in volumes of 200 to 300 mL. c. Sterile saline is used rather than tap water for gastric lavage. d. A sample of gastric contents is aspirated using a 10-mL syringe.

The patient has type O blood. Patients with duodenal ulcers most often have type O blood. They are usually 50 years or older and are often well-nourished. Another key feature of a duodenal ulcer is a high secretion of gastric acid; abdominal pain due to a duodenal ulcer is therefore relieved by the ingestion of food. Pain usually occurs again about 90 minutes to 3 hours after eating food.

The nurse is assessing a patient who reports episodes of pain in the abdomen. What feature suggests the possibility of a duodenal ulcer? a. The patient is 35 years old. b. The patient has type O blood. c. The patient is likely malnourished. d. The patient experiences more pain after eating food

The pain is worsened by the ingestion of food...

The nurse is assessing the nature of abdominal pain in a patient with a suspected peptic ulcer. What feature of the pain points towards a diagnosis of gastric ulcer? a. The pain is on the right of the epigastrium. b. The pain is worsened by the ingestion of food. c. The pain often occurs about 2 hours after a meal. d. The pain often awakens the patient around 1 AM.

c. Rapid urease testing Rapid urease testing may be done on tissue samples collected during an EGD to detect H. pylori infection. Cytologic examination is used to detect cancer cells. IgG or IgM H. pylori antibody tests are blood tests to diagnose infection. pH measurement is used to evaluate acid in the upper gastrointestinal tract.

The nurse is assisting with an esophagogastroduodenoscopy (EGD) procedure on a patient who has symptoms of gastritis. The provider collects tissue samples and will test for H. pylori infection using which diagnostic test? a. pH measurement b. IgG or IgM testing c. Rapid urease testing d. Cytologic examination

Rapid urease testing

The nurse is assisting with an esophagogastroduodenoscopy (EGD) procedure on a patient who has symptoms of gastritis. The provider collects tissue samples and will test for H. pylori infection using which diagnostic test? a. pH measurement b. IgG or IgM testing c. Rapid urease testing d. Cytologic examination

Pain occurs 11⁄2 to 3 hours after a meal, usually at night. A key symptom of duodenal ulcers is that pain usually awakens the patient between 1 AM and 2 AM, occurring 11⁄2 to 3 hours after a meal. Pain that is worsened with ingestion of food and a malnourished appearance are key features of gastric ulcers. A male over 50 years is a finding that could apply to either type of ulcer.

The nurse is caring for an older adult male patient who reports stomach pain and heartburn. Which characteristic is most significant in determining whether the patient's ulceration is gastric or duodenal in origin? a. The patient is a man older than 50 years. b. Pain is worsened by the ingestion of food. c. The patient has a malnourished appearance. d. Pain occurs 11⁄2 to 3 hours after a meal, usually at night.

Osteoarthritis

The nurse is performing a health history on a patient who is newly diagnosed with peptic ulcer disease (PUD). Which condition in the patient's history prompts the nurse to question the patient further? a. Osteoarthritis b. Hyperlipidemia c. Urinary tract infections d. Cardiovascular disease

. Place a nasogastric (NG) tube, and connect to suction

The nurse is reviewing orders for a patient admitted to the intensive care unit with perforation of a duodenal ulcer. Which order does the nurse implement first? a. Apply antiembolism stockings b. Insert an indwelling catheter, and check output hourly c. Place a nasogastric (NG) tube, and connect to suction d. Give famotidine 20 mg intravenously (IV) every 12 hours

Metronidazole Metronidazole is an antimicrobial that treats H. pylori infection

The nurse is reviewing the medications prescribed for a patient with peptic ulcer disease (PUD). Which drug is the patient taking to treat Helicobacter pylori infection? a. Nizatidine b. Pantoprazole c. Metronidazole d. Aluminum hydroxide

'Nizatidine needs to be taken three times a day to be effective.'

The nurse is teaching a patient with peptic ulcer disease about the prescribed drug regimen. Which statement made by the patient indicates a need for further teaching before discharge? a. 'Omeprazole should be swallowed whole and not crushed. b. ''Nizatidine needs to be taken three times a day to be effective.' c. 'Sucralfate should be taken 1 hour before and 2 hours after meals.' d. 'Taking ranitidine at bedtime should decrease acid production at night.'

Tarry or dark sticky stools Decreased blood pressure Dizziness or light-headedness Bright red or coffee-ground vomitus

Which clinical findings may help differentiate upper gastrointestinal Which clinical findings may help differentiate upper gastrointestinal bleeding from duodenal ulcer bleeding? Select all that apply. a. Tarry or dark sticky stools b. High gastric acid secretion c. Decreased blood pressure d. Dizziness or light-headedness e. Bright red or coffee-ground vomitus f. Low pH levels in the duodenum for long periods

Decreased blood pressure Dizziness or light-headedness Bright red or coffee-ground vomitus Tarry or dark sticky stools

Which clinical findings may help differentiate upper gastrointestinal bleeding from duodenal ulcer bleeding? Select all that apply. a. Tarry or dark sticky stools b. High gastric acid secretion c. Decreased blood pressure d. Dizziness or light-headedness e. Bright red or coffee-ground vomitus f. Low pH levels in the duodenum for long periods

Atrophic gastritis...

Which disorder in older adults may have a direct association with mucosa-associated lymphoid tissue (MALT) lymphoma? Uremia Crohn's diseaseAtrophic gastritis Graft versus host disease

hemorrage the most serious complication of peptic ulcer disease in older adults is hemorrhage. This hemorrhage can be worsened with H. pylori infection; this condition may result in tarry or dark sticky stools and bright red vomitus. Perforations can occur when the ulcer is deep enough to wear away the entire membrane of the stomach and duodenum. Pyloric obstruction occurs in a small percentage of patients. Intractable diseases can occur if there are a lot of stressors in a patient's lifestyle (such as alcoholic beverages) and if the patient is unable to adhere to long-term therapy.

Which is the most serious complication of peptic ulcer disease that a nurse should check for in an older patient? Perforation Hemorrhage Pyloric obstruction Intractable disease

B. Hemorrhage...

Which is the most serious complication of peptic ulcer disease that a nurse should check for in an older patient? a. Perforation b. Hemorrhage c. Pyloric obstruction d. Intractable disease

Evaluating heart rate and blood pressure

Which is the priority nursing action for the patient with a stress ulcer? a. Preventing nausea and vomiting b. Monitoring and treating gastric pain c. Evaluating heart rate and blood pressure d.Maintaining a calm, stress-free environment

c. Evaluating heart rate and blood pressure

Which is the priority nursing action for the patient with a stress ulcer? a. Preventing nausea and vomiting b. Monitoring and treating gastric pain c. Evaluating heart rate and blood pressure d. Maintaining a calm, stress-free environment

b. Reinforce the teaching about avoiding alcohol and caffeine for a patient with chronic gastritis...

Which nursing action is best for the charge nurse to delegate to an experienced LPN/LVN? a. Document instructions for a patient with chronic gastritis about how to use triple therapy b. Reinforce the teaching about avoiding alcohol and caffeine for a patient with chronic gastritis c. Retape the nasogastric tube for a patient who has had a subtotal gastrectomy and vagotomy d. Assess the gag reflex for a patient who has arrived from the post anesthesia care unit (PACU) after a laparoscopic gastrectomy

b. Deeply located glands Chronic atrophic gastritis causes inflammation and destruction of deeply located glands and affects all layers of the stomach. Type B chronic gastritis usually affects the glands of the antrum and can also involve the entire stomach. Type A (nonerosive) chronic gastritis leads to inflammation of the fundus and body of the stomach.

Which organ is usually affected in chronic atrophic gastritis? a. Glands of the antrum b. Deeply located glands c. Body of the stomach only. d. Fundus of the stomach only

Treatment with radiation therapy

Which patient assessment data frequently correlates with a diagnosis of chronic gastritis? a. Hematemesis b. Gastric hemorrhage c. Frequent use of corticosteroids d. Treatment with radiation therapy

Avoid exposure to lead

Which self-management measure will the nurse teach the patient with gastritis? a. Avoid exposure to lead b. Drink decaffeinated coffee c. Limit tobacco consumption d. Never use nonsteroidal anti-inflammatory drugs (NSAIDs)

Avoid exposure to lead

Which self-management measure will the nurse teach the patient with gastritis? a. Avoid exposure to lead b. Drink decaffeinated coffee. c. Limit tobacco consumption d. Never use nonsteroidal anti-inflammatory drugs (NSAIDs)

a. 'Eating a well-balanced diet is important b. ''Alcoholic beverages in excessive amounts should be avoided. e. 'Excessive intake of coffee or even decaffeinated drinks should be avoided.' f. 'Protection against exposure to toxic substances in the workplace should be practiced.'

Which statements should the nurse include when teaching patients and their families regarding prevention of gastritis? Select all that apply. a. 'Eating a well-balanced diet is important. b. ''Alcoholic beverages in excessive amounts should be avoided. c. ''Intake foods with strong spices such as pepper and mustard if necessary. d. ''Proton pump inhibitors may be used to suppress gastric acid secretion.' e. Excessive intake of coffee or even decaffeinated drinks should be avoided.' f. 'Protection against exposure to toxic substances in the workplace should be practiced.'

Eating a well-balanced diet is important.' 'Alcoholic beverages in excessive amounts should be avoided.' Excessive intake of coffee or even decaffeinated drinks should be avoided.' 'Protection against exposure to toxic substances in the workplace should be practiced.'

Which statements should the nurse include when teaching patients and their families regarding prevention of gastritis? Select all that apply. a. 'Eating a well-balanced diet is important.' 'b. Alcoholic beverages in excessive amounts should be avoided.' c. 'Intake foods with strong spices such as pepper and mustard if necessary.' d. 'Proton pump inhibitors may be used to suppress gastric acid secretion. e. 'Excessive intake of coffee or even decaffeinated drinks should be avoided.' f. 'Protection against exposure to toxic substances in the workplace should be practiced.'

Duodenal ulcers and stress ulcers

Which ulcers usually develop due to H. pylori infection? a. Stress ulcers b. Gastric ulcers and stress ulcers c. Duodenal ulcers and stress ulcers d. Gastric ulcers and duodenal ulcers

'It produces an enzyme that alters the pH of the gastric environment.'

A patient asks the nurse how an infection such as H. pylori can cause gastric ulcers. What does the nurse tell the patient about this organism? a. 'It causes direct damage to the gastric mucosa. b. ''It reduces the function of the pyloric sphincter, causing reflux. c. 'It secretes acid that reduces the integrity of the mucosal barrier.' d. 'It produces an enzyme that alters the pH of the gastric environment.'

Gastritis is the inflammation of gastric mucosa.

A patient has been diagnosed with gastritis. What statement about this disorder is accurate? a. Gastritis is a tumor of the gastric mucosa. b. Gastritis is caused by release of prostaglandin. c. Gastritis is the inflammation of gastric mucosa. d. Gastritis is a tumor that is associated with pylori infection.

pregnancy

A patient has been diagnosed with rheumatoid arthritis and has a history of peptic ulcer disease (PUD). The physician has decided to prescribe misoprostol to help prevent further gastric damage. What concurrent condition should be ruled out prior to starting this medication? a.Anemia b. Pregnancy. c. Fecal incontinence d. Autoimmune disorder

Ability to swallow secretions

A patient has undergone an esophagogastroduodenoscopy (EGD) procedure. Which is a priority nursing assessment for this patient? a. Level of sedation b. Presence of pain c. Tolerance of clear fluids d. Ability to swallow secretions

Decompression of the stomach

A patient with peptic ulcer disease has developed a pyloric obstruction, and the provider orders placement of a nasogastric (NG) tube. The NG tube is used for which purpose in this patient? a. Prevention of peritonitis b. Decompression of the stomach c. Irrigation to remove blood clots d. Provision of fluids and nutrients

a. Melena Melena is the term used to describe traces of blood or occult blood in the stool. Hematemesis is the term used to describe the vomiting of blood. Dyspepsia describes a sharp, burning, or gnawing pain (also called heartburn). Peritonitis is the tender, rigid, and board-like abdomen usually seen following perforation of a peptic ulcer.

The laboratory report of a patient with acute gastritis states there are traces of blood in the stool. What term does the nurse use to document this finding? a. Melena b. Dyspepsia c. Peritonitis d. Hematemesis

Contact the provider to report these symptoms

The nurse assesses that a patient experiences regular epigastric discomfort that usually goes away after eating. Which initial nursing action is correct? a. Contact the provider to report these symptoms b. Request an order for an H 2-receptor antagonist c. Order a low-fat, bland diet to prevent discomfort d. Teach the patient to avoid nonsteroidal anti-inflammatory drugs and aspirin

a. Contact the provider to report these symptoms

The nurse assesses that a patient experiences regular epigastric discomfort that usually goes away after eating. Which initial nursing action is correct? a. Contact the provider to report these symptoms b. Request an order for an H 2-receptor antagonist c. Order a low-fat, bland diet to prevent discomfort d. Teach the patient to avoid nonsteroidal anti-inflammatory drugs and aspirin

Notify the provider immediately

The nurse caring for a patient with a duodenal ulcer finds the patient lying in the fetal position. The patient reports experiencing a sudden onset of sharp pain. Which action by the nurse is correct? a. Notify the provider immediately b. Administer pain medication as ordered c. Provide a heating pad to alleviate discomfort d. Suggest that the patient eat or drink something

Administering intravenous (IV) fluids Administering antianxiety medication

The nurse finds a patient vomiting coffee ground-type emesis. On assessment, the patient has blood pressure of 100/74 mm Hg, is acutely confused, and has a weak and thready pulse. Which intervention is the nurse's first priority? a. Initiating enteral nutrition b. Administering an H 2 antagonist

'Saline goes down the tube to help clean out your stomach...

The nurse has placed a nasogastric (NG) tube in a patient with upper gastrointestinal bleeding to administer gastric lavage. The patient asks the nurse about the purpose of the NG tube for the procedure. What is the nurse's best response? a. 'Saline goes down the tube to help clean out your stomach. b. ''Medication goes down the tube to help clean out your stomach. c. ''We'll start feeding you through it once your stomach is cleaned out. d. 'The provider requested the tube to be placed just in case it was needed.'

Nonsteroidal antiinflammatory drugs (NSAIDs)

The nurse is caring for a patient and is monitoring the patient regularly for acute gastritis with bleeding. Which medication class most likely causes the nurse to believe the patient is at risk for this disorder? a. Narcotic analgesic b. Proton pump inhibitors (PPIs) c. Nonsteroidal antiinflammatory drugs (NSAIDs) d. Angiotensin-converting-enzyme (ACE) inhibitors

duodenal ulcer

The nurse is caring for a patient who has granular dark vomitus that resembles coffee grounds. Which type of ulcer does the nurse suspect in this patient? Gastric Pyloric Duodenal Esophageal

assess for gag reflex

The nurse is caring for a patient who has just returned from an endoscopic procedure. His wife verbalizes that the patient must be hungry. Which initial action by the nurse is correct? a. Assess for a gag reflex b. Request a dietitian consult c. Insert a nasogastric tube for feeding d. Allow the wife to obtain food from the cafeteria

b. Assuming the knee-chest position. c. Tender, rigid, board-like abdomen. d. Sudden, sharp pain in the mid-epigastrium.

The nurse is caring for a patient with peptic ulcer disease (PUD). What signs and symptoms in the patient suggest a surgical emergency? Select all that apply. a. Black, tarry stool b. Assuming the knee-chest position c. Tender, rigid, board-like abdomen d. Sudden, sharp pain in the mid-epigastrium e. Vomiting of bright red or coffee-ground blood

use of complementary and alternative therapies

The nurse is teaching a patient about self-management of gastritis. Which piece of education is appropriate? a. 'Drink decaffeinated coffee.' b. 'Eat tomato products and onions.' c. 'Use complementary and alternative therapies.' d. 'Take aspirin instead of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain.'

'Take the ranitidine at bedtime.

The nurse is teaching a patient about the use of ranitidine and sucralfate to treat gastritis. What does the nurse include in this teaching? a. 'Take the ranitidine at bedtime. b. 'Take the sucralfate after eating. c. 'Take the ranitidine before meals.' d. Use the sucralfate as needed for pain.'

Ensure that food and water are safe and not contaminated. Try complementary and alternative therapies to manage stress. Stay protected against exposure to toxic substances, such as nickel, at the workplace.

The nurse is teaching a patient how to prevent gastritis. What are the appropriate instructions for prevention? Select all that apply. a. Avoid coffee as it contains caffeine; have tea instead. b. Take ibuprofen whenever there is pain in the abdomen. c. Ensure that food and water are safe and not contaminated. d. Try complementary and alternative therapies to manage stress. e. Stay protected against exposure to toxic substances, such as nickel, at the workplace.

'I should avoid alcohol and tobacco.

The nurse is teaching a patient how to prevent recurrent chronic gastritis symptoms before discharge. Which statement by the patient demonstrates a correct understanding of the nurse's instruction? a. 'I should avoid alcohol and tobacco. b. ''I should eat small meals about six times a day. c. ''I will need to take vitamin B 12 shots for the rest of my life. d. ''It is okay to continue to drink coffee in the morning when I get to work.'

I should avoid alcohol and tobacco

The nurse is teaching a patient how to prevent recurrent chronic gastritis symptoms before discharge. Which statement by the patient demonstrates a correct understanding of the nurse's instruction? a. 'I should avoid alcohol and tobacco. b. ''I should eat small meals about six times a day c. ''I will need to take vitamin B 12 shots for the rest of my life. d. ''It is okay to continue to drink coffee in the morning when I get to work.'

Helicobacter pylori H. pylori is the most common causative organism of acute and chronic gastritis. E. coli can cause gastroenteritis. S. aureus is an organism that can cause a number of bacterial infections; however, gastritis is not one of them. Streptococcus bacteria can also cause a number of infections such as pneumonia, tonsillitis, and meningitis.

The patient presents to the emergency department with acute The patient presents to the emergency department with acute gastritis. The nurse suspects which organism is most likely the culprit? Streptococcus Escherichia coli Helicobacter pylori Staphylococcus aureus

Pernicious anemia Intolerance to fatty food. Nausea and vomiting Pernicious anemia and intolerance to fatty food are key features of chronic gastritis. Nausea and vomiting are key features of both chronic and acute gastritis. Heartburn, hematemesis (vomiting of blood), and gastric hemorrhage are seen in patients with acute gastritis...

What are the key features of chronic gastritis? Select all that apply. a. Heartburn b. Hematemesis c. Pernicious anemia d. Gastric hemorrhage e. Nausea and vomiting f. Intolerance to fatty food

A. It is associated with pernicious anemia A genetic link to type A gastritis has been found in the relatives of those who have pernicious anemia. The gene has an autosomal dominant pattern of inheritance. Type B gastritis is most often caused by H. pylori infection. Atrophic gastritis may occur due to exposure to toxins such as benzene or lead.

What statement about type A gastritis is most accurate? A. It is associated with pernicious anemia. b. It is most often caused by pylori infection. c. It can occur due to exposure to benzene or lead. d. It has an autosomal recessive pattern of inheritance

It is associated with pernicious anemia.

What statement about type A gastritis is most accurate? a. It is associated with pernicious anemia. b. It is most often caused by pylori infection. c. It can occur due to exposure to benzene or lead. d. It has an autosomal recessive pattern of inheritance.

c. In the antrum of the stomach Gastric ulcers appear in the antrum of the stomach. Stress ulcers may be found on the proximal duodenum. Duodenal ulcers occur in the upper portion of the duodenum and penetrate through the mucosa and submucosa into the muscularis propria....

Which area of the body is a location for gastric ulcers? a. Muscularis propria b. Proximal duodenum c. In the antrum of the stomach d. Upper portion of the duodenum

a. Vascular congestion b. Acute inflammatory cell infiltration e. Degenerative changes in the superficial epithelium of the stomach lining

Which pathologic changes can occur in a patient with gastritis? Select all that apply. a. Vascular congestion b. Acute inflammatory cell infiltration c. Prostaglandins providing a mucosal barrier d. Histamine release and vagus nerve stimulation e. Degenerative changes in the superficial epithelium of the stomach lining

a. Vascular congestion b. Acute inflammatory cell infiltration e. Degenerative changes in the superficial epithelium of the stomach lining.

Which pathologic changes can occur in a patient with gastritis? Select all that apply. a. Vascular congestion b. Acute inflammatory cell infiltration c. Prostaglandins providing a mucosal barrier d. Histamine release and vagus nerve stimulation e. Degenerative changes in the superficial epithelium of the stomach lining