Podcast
Questions and Answers
A client with acute gastritis is being prepared for discharge. Which dietary instruction is most appropriate to prevent recurrence?
A client with acute gastritis is being prepared for discharge. Which dietary instruction is most appropriate to prevent recurrence?
- Avoid spicy foods, caffeine, alcohol, and nicotine. (correct)
- Increase intake of citrus fruits and juices to enhance vitamin C absorption.
- Maintain a strict schedule of three large meals per day to regulate stomach acid production.
- Consume a diet high in fiber and raw vegetables to promote gut motility.
A patient is diagnosed with H. pylori. What diagnostic test confirms this?
A patient is diagnosed with H. pylori. What diagnostic test confirms this?
- Physical examination
- Stool test for occult blood
- Complete blood count
- Gastric tissue biopsy (correct)
A patient with hemorrhagic gastritis is showing signs of hematemesis, tachycardia, and hypotension. What is the priority nursing intervention?
A patient with hemorrhagic gastritis is showing signs of hematemesis, tachycardia, and hypotension. What is the priority nursing intervention?
- Monitor vital signs and notify the healthcare provider immediately. (correct)
- Apply a warm compress to the abdomen to alleviate discomfort.
- Administer antacids to neutralize stomach acid.
- Provide a clear liquid diet to soothe the gastric lining.
A client with atrophic gastritis is found to have vitamin B12 deficiency. Which intervention is essential?
A client with atrophic gastritis is found to have vitamin B12 deficiency. Which intervention is essential?
A nurse is caring for a client in the acute phase of gastritis. Which intervention is the priority?
A nurse is caring for a client in the acute phase of gastritis. Which intervention is the priority?
A patient is diagnosed with gastritis. What signs and symptoms might the patient report?
A patient is diagnosed with gastritis. What signs and symptoms might the patient report?
What is the rationale for withholding oral food and fluids initially for a client with acute gastritis?
What is the rationale for withholding oral food and fluids initially for a client with acute gastritis?
Which diagnostic test is most likely to be performed to rule out anemia in a client with chronic gastritis?
Which diagnostic test is most likely to be performed to rule out anemia in a client with chronic gastritis?
When should a nurse stress the importance of close medical supervision of higher incidence of gastric cancer?
When should a nurse stress the importance of close medical supervision of higher incidence of gastric cancer?
A patient has chronic gastritis due to degeneration of the gastric mucosa. What type of gastritis is this?
A patient has chronic gastritis due to degeneration of the gastric mucosa. What type of gastritis is this?
Flashcards
Atrophic Gastritis
Atrophic Gastritis
Inflammation of the stomach, leading to a loss of gastric mucosa and pernicious anemia.
Acute Gastritis Nursing Care
Acute Gastritis Nursing Care
NPO (nothing by mouth), bed rest, NG tube if needed, replace fluids & lost electrolytes.
Hemorrhagic Gastritis Signs
Hemorrhagic Gastritis Signs
Blood in vomit, fast heart rate and low blood pressure signal bleeding in stomach.
Gastritis Diet
Gastritis Diet
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Gastritis Medications
Gastritis Medications
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Chronic Gastritis Symptoms
Chronic Gastritis Symptoms
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Gastritis Diagnosis Methods
Gastritis Diagnosis Methods
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Study Notes
- Chronic gastritis involves symptoms like anorexia, nausea, vomiting, belching, heartburn after eating, a sour taste in the mouth, and vitamin B12 deficiency.
Diagnosis
- Diagnosis is made through a history, physical and endoscopic examinations.
- Gastroscopy with biopsy provides a definitive diagnosis.
- Breath, serum, urine, and gastric tissue biopsy are used to diagnose H. Pylori.
- Complete blood counts and stool tests aid in diagnosing anemia and occult blood.
Nursing Management
- Acute phase management includes bed rest, NPO status, nasogastric tube insertion, and replacement of fluids and electrolytes.
- Withhold oral foods and administer medications to slow peristalsis.
- Administer antacids or H2 antagonists as prescribed, and antibiotics if H. Pylori is diagnosed.
- Gradually reintroduce clear liquids and bland foods as symptoms subside.
- Blood transfusions may be necessary in severe cases of hemorrhagic gastritis.
Interventions
- In acute gastritis, food and fluids may be withheld until symptoms subside, followed by gradual reintroduction starting with ice chips, then clear liquids, and solid food as prescribed.
- Monitor for signs of hemorrhagic gastritis like hematemesis, tachycardia, and hypotension, and notify the PHCP if these signs occur.
- Avoid irritating foods, fluids, and substances like spicy foods, caffeine, alcohol, and nicotine.
- Instruct the client on prescribed medications, including antibiotics for H. pylori and antacids.
- Provide information about the importance of vitamin B12 injections if a deficiency is present.
Atrophic Gastritis
- Atrophic gastritis involves chronic inflammation of the stomach resulting from degeneration of the gastric mucosa, leading to pernicious anemia.
- Assessment reveals Vitamin B12 deficiency and hypochlorhydria (decreased acid production).
Diagnostic Tests
- Parietal cell antibody and intrinsic factor serum tests are conducted.
Nursing Interventions
- Vitamin B12 injections may be necessary for life.
- Stress the importance of close medical supervision due to the higher incidence of gastric cancer.
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