Gastritis: Health and Risk Factors
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Questions and Answers

What is a key dietary recommendation for a patient with gastritis?

  • Eat small, frequent meals and avoid irritants (correct)
  • Increase intake of fatty foods
  • Avoid any form of caffeine
  • Consume large meals less frequently

    • Which of the following factors is NOT a risk factor for developing gastritis?

  • Prolonged use of NSAIDs
  • Diet high in vegetables (correct)
  • Excess alcohol use
  • Family history of gastritis

    • What is the consequence of pernicious anemia related to gastric function?

  • Increased production of intrinsic factor
  • Enhanced gastric acid production
  • Decrease of intrinsic factor by parietal cells (correct)
  • Improved absorption of vitamin C

    • What should a patient with gastritis do regarding alcohol consumption?

    <p>Completely eliminate alcohol use</p> Signup and view all the answers

    Which bacteria is commonly associated with gastritis?

    <p>Helicobacter pylori</p> Signup and view all the answers

    What is a primary function of cyclooxygenase (COX) in relation to the gastric mucosa?

    <p>To produce mucosal prostaglandins</p> Signup and view all the answers

    Which type of gastritis is most commonly associated with Helicobacter pylori infection?

    <p>Nonerosive gastritis</p> Signup and view all the answers

    What can result from the severe form of acute gastritis caused by ingesting irritants?

    <p>Development of gangrenous tissue</p> Signup and view all the answers

    Chronic gastritis can sometimes be related to which autoimmune disease?

    <p>Pernicious anemia</p> Signup and view all the answers

    What serious complication may arise from extensive gastric mucosal wall damage due to erosive gastritis?

    <p>Pyloric stenosis</p> Signup and view all the answers

    Which symptom is indicative of acute gastritis?

    <p>Hematemesis</p> Signup and view all the answers

    What is a common gastrointestinal manifestation of gastritis?

    <p>Loss of appetite</p> Signup and view all the answers

    Which of the following is a typical physical assessment finding in a patient with gastritis?

    <p>Upper abdominal burning</p> Signup and view all the answers

    What dietary intolerance may a person with gastritis experience?

    <p>Spicy and fatty foods</p> Signup and view all the answers

    Which condition can be a complication of untreated chronic gastritis?

    <p>Gastric hemorrhage</p> Signup and view all the answers

    What laboratory test is used to check for anemia in patients with gastritis?

    <p>Complete Blood Count (CBC)</p> Signup and view all the answers

    What are the indicators of anemia for females assigned at birth according to the specified criteria?

    <p>Hgb less than 12 g/dL and RBC less than 4.2 cells/mcL</p> Signup and view all the answers

    Which symptom is indicative of erosive gastritis?

    <p>Black, tarry stools</p> Signup and view all the answers

    Which of the following tests specifically measures the presence of H. pylori?

    <p>C13 urea breath test</p> Signup and view all the answers

    Which condition is most likely indicated by acute abdominal pain in a patient diagnosed with erosive gastritis?

    <p>Gastric ulcer</p> Signup and view all the answers

    What is a primary purpose of conducting an upper endoscopy in the context of gastritis?

    <p>To visualize the upper digestive tract and perform diagnostic procedures</p> Signup and view all the answers

    Which instruction would be crucial for a patient prior to undergoing an upper endoscopy?

    <p>Maintain NPO status after midnight the day of the procedure</p> Signup and view all the answers

    What potential complication should be monitored for after an upper endoscopy?

    <p>Indications of perforation such as chest or abdominal pain</p> Signup and view all the answers

    What is likely to be experienced in the throat following the administration of a local anesthetic during an upper endoscopy?

    <p>Soreness in the throat afterwards</p> Signup and view all the answers

    What is an essential action after a patient undergoes an upper endoscopy?

    <p>Have a ride home available after the procedure</p> Signup and view all the answers

    What should be monitored to assess hydration status in a patient with gastritis?

    <p>Fluid intake and urine output</p> Signup and view all the answers

    Which of the following is a recommended dietary approach for patients with gastritis?

    <p>Providing small, frequent meals</p> Signup and view all the answers

    What lifestyle change should a patient with gastritis consider to alleviate symptoms?

    <p>Identifying food triggers</p> Signup and view all the answers

    Which symptom may indicate the presence of gastric bleeding in a patient with gastritis?

    <p>Coffee-ground emesis</p> Signup and view all the answers

    Which electrolyte imbalances should be monitored in patients with gastritis who are experiencing vomiting and diarrhea?

    <p>Decreased sodium and potassium levels</p> Signup and view all the answers

    What is the primary action of histamine2 antagonists in the treatment of gastritis?

    <p>Block gastric histamine2 receptors</p> Signup and view all the answers

    Which medication should a patient take 1 hour before meals to alleviate heartburn?

    <p>Famotidine</p> Signup and view all the answers

    What precaution should be taken when administering H2 receptor antagonists intravenously?

    <p>Dilute and administer slowly</p> Signup and view all the answers

    Which instruction is important to educate a patient about antacid use with H2 receptor antagonists?

    <p>Wait 1 hour prior to or following H2 receptor antagonist</p> Signup and view all the answers

    What should a patient monitor for as signs of potential gastrointestinal bleeding?

    <p>Black stools and coffee-ground emesis</p> Signup and view all the answers

    What is the primary action of antacids in the context of gastritis?

    <p>Increases gastric pH and neutralizes pepsin</p> Signup and view all the answers

    Which nursing intervention is essential when administering aluminum-based antacids?

    <p>Monitor for constipation and aluminum toxicity</p> Signup and view all the answers

    What should clients avoid when taking antacids in relation to timing with other medications?

    <p>Using antacids 1 hour before other medications</p> Signup and view all the answers

    Which of the following is a common side effect associated with magnesium-based antacids?

    <p>Diarrhea</p> Signup and view all the answers

    What condition should contraindicate the use of antacids in clients?

    <p>Acute kidney injury or chronic kidney failure</p> Signup and view all the answers

    What is the primary action of proton pump inhibitors in managing gastritis?

    <p>Stops the hydrogen/potassium ATPase enzyme system.</p> Signup and view all the answers

    Which instruction is crucial for a patient taking esomeprazole?

    <p>Allow 60 minutes before eating after administration.</p> Signup and view all the answers

    Which nursing intervention is necessary when administering intravenous pantoprazole?

    <p>Use a filter for IV administration.</p> Signup and view all the answers

    How long can it take to see the effects of proton pump inhibitors in a patient?

    <p>4 days</p> Signup and view all the answers

    What is an important consideration regarding medications that are enteric-coated or sustained-release?

    <p>They should not be crushed or chewed.</p> Signup and view all the answers

    What is the primary action of misoprostol in the treatment of gastritis?

    <p>Stimulates mucosal protection</p> Signup and view all the answers

    What side effect can misoprostol cause?

    <p>Abdominal pain</p> Signup and view all the answers

    Which of the following is an important client education point when prescribing misoprostol?

    <p>Use contraceptives</p> Signup and view all the answers

    With which medications can misoprostol be safely administered to prevent gastric mucosal damage?

    <p>NSAIDs</p> Signup and view all the answers

    For which reason should misoprostol be taken with food?

    <p>To reduce gastric effects</p> Signup and view all the answers

    What is the recommended timing for antacid administration when treating gastritis?

    <p>30 minutes before or after other medications</p> Signup and view all the answers

    Which of the following is a key client education point when prescribing sucralfate for gastritis?

    <p>Take on an empty stomach</p> Signup and view all the answers

    What is the primary action of the antibiotics used to treat H. pylori infection in gastritis?

    <p>Eliminate H. pylori infection</p> Signup and view all the answers

    Which of the following actions is NOT advisable for a patient taking medication for gastritis?

    <p>Smoking and consuming alcohol</p> Signup and view all the answers

    Which medication is specifically indicated for forming a protective coating over the gastric mucosa in gastritis treatment?

    <p>Sucralfate</p> Signup and view all the answers

    What is the primary purpose of administering antibiotics in the treatment of gastritis?

    <p>To eliminate H. pylori infection</p> Signup and view all the answers

    Which nursing intervention is most important when a patient is receiving antibiotics for gastritis?

    <p>Monitoring for increased abdominal pain and diarrhea</p> Signup and view all the answers

    What key instruction should be provided to clients regarding antibiotic treatment for gastritis?

    <p>Complete the full prescribed dosage</p> Signup and view all the answers

    In patients with gastritis, why should fluids be carefully monitored during antibiotic treatment?

    <p>To monitor for electrolyte imbalances</p> Signup and view all the answers

    Which medication from the options below is NOT typically used in the treatment of H. pylori infection associated with gastritis?

    <p>Ibuprofen</p> Signup and view all the answers

    What is the primary reason for prescribing surgery in patients with gastritis?

    <p>When there are ulcerations or significant bleeding</p> Signup and view all the answers

    What action should a nurse take if a patient exhibits coffee-ground emesis?

    <p>Notify the healthcare provider for potential gastric bleeding</p> Signup and view all the answers

    Which intervention is necessary for a patient receiving a nasogastric (NG) tube for gastric lavage?

    <p>Obtaining an x-ray to confirm the placement of the NG tube</p> Signup and view all the answers

    How should a patient be educated regarding potential abdominal pain related to gastritis?

    <p>To seek immediate medical attention if pain worsens</p> Signup and view all the answers

    What is a key complication associated with chronic erosive gastritis?

    <p>Slow or profuse gastric bleeding</p> Signup and view all the answers

    What is a critical nursing action for a patient with gastric outlet obstruction due to severe acute gastritis?

    <p>Monitor fluids and electrolytes closely</p> Signup and view all the answers

    What symptom should a client with dehydration from vomiting or diarrhea be advised to report?

    <p>Continuous vomiting</p> Signup and view all the answers

    What is the underlying cause of pernicious anemia in patients with chronic gastritis?

    <p>Damage to parietal cells leading to decreased intrinsic factor production</p> Signup and view all the answers

    Which nursing intervention should be prioritized for a patient experiencing severe fluid and electrolyte depletion?

    <p>Administer IV fluids and electrolytes</p> Signup and view all the answers

    What client education should be provided regarding the management of pernicious anemia?

    <p>Regular monthly vitamin B12 injections are necessary for management</p> Signup and view all the answers

    What is a common nursing action for a patient experiencing gastric outlet obstruction due to severe acute gastritis?

    <p>Prepare to insert an NG tube</p> Signup and view all the answers

    Which nursing action is essential when caring for a patient with dehydration caused by vomiting?

    <p>Provide IV fluids if needed</p> Signup and view all the answers

    What should clients be educated about regarding pernicious anemia?

    <p>Monthly vitamin B12 injections are necessary</p> Signup and view all the answers

    What is a critical component of client education for patients experiencing gastric outlet obstruction?

    <p>To seek medical attention for ongoing symptoms</p> Signup and view all the answers

    What is a significant consideration for monitoring in patients experiencing continuous vomiting?

    <p>Chloride levels due to metabolic alkalosis</p> Signup and view all the answers

    Study Notes

    Gastritis: Health Promotion and Disease Prevention

    • Reduce anxiety related to gastritis.
    • Adhere to a prescribed diet.
    • Minimize or eliminate alcohol consumption.
    • Pernicious anemia patients require vitamin B12 injections due to decreased intrinsic factor production by stomach parietal cells.
    • Monitor for signs of gastrointestinal bleeding.
    • Take medications as prescribed.
    • Consume small, frequent meals, avoiding irritating foods and drinks.
    • Report constipation, nausea, vomiting, or bloody stools.
    • Quit smoking.

    Gastritis: Risk Factors

    • Family history of H. pylori infection or gastritis.
    • Prolonged use of Nonsteroidal Anti-inflammatory Drugs (NSAIDs) and corticosteroids (due to their effect on prostaglandin synthesis).
    • Excessive alcohol consumption.
    • Bile reflux disease.
    • Advanced age.
    • Radiation therapy.
    • Tobacco use.
    • Caffeine.
    • High stress levels.
    • Exposure to contaminated food/water.
    • Bacterial infections (e.g., H. pylori, Salmonella, Streptococci, Staphylococci, Escherichia coli).
    • Autoimmune disorders (e.g., systemic lupus, rheumatoid arthritis, pernicious anemia).

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    Description

    This quiz covers essential health promotion strategies and risk factors associated with gastritis. Learn how to manage symptoms through diet, medication, and lifestyle changes while identifying potential triggers and risks. Perfect for anyone looking to understand gastritis better.

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