Nokea
The student nurse studying stomach disorders learns that the risk factors for acute gastritis include which of the following? (Select all that apply.)
- A. Alcohol
- B. Caffeine
- C. Corticosteroids
- D. Fruit juices
- E. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Correct Answer: A,B,C,E
Rationale: Risk factors for acute gastritis include alcohol, caffeine, corticosteroids, and chronic NSAID use. Fruit juice is not a risk factor, although in some people it does cause distress.
You may also like to solve these questions
A client is scheduled for a total gastrectomy for gastric cancer. What preoperative laboratory result should be reported to the surgeon immediately?
- A. Albumin: 2.1 g/dL
- B. Hematocrit: 28%
- C. Hemoglobin: 8.1 g/dL
- D. International normalized ratio (INR): 4.2
Correct Answer: D
Rationale: An INR as high as 4.2 poses a serious risk of bleeding during the operation and should be reported. The albumin is low and is an expected finding. The hematocrit and hemoglobin are also low, but this is expected in gastric cancer.
A client has a recurrence of gastric cancer and is in the gastrointestinal clinic crying. What response by the nurse is most appropriate?
- A. Do you have family or friends for support?
- B. I'd like to know what you are feeling now.
- C. Well, we knew this would probably happen.
- D. Would you like me to refer you to hospice?
Correct Answer: B
Rationale: The nurse assesses the client's emotional state with open-ended questions and statements and shows a willingness to listen to the client's concerns. Asking about support people is very limited in nature, and yes-or-no questions are not therapeutic. Saying that this was expected dismisses the client's concerns. The client may or may not be ready to hear about hospice, and this is another limited, yes-or-no question.
A client has a peptic obstruction and reports sudden muscle-weakness. What action by the nurse takes priority?
- A. Document the findings in the chart.
- B. Request an electrocardiogram (ECG).
- C. Facilitate a serum potassium test.
- D. Administer a serum potassium test.
Correct Answer: B
Rationale: Pyloric stenosis can lead to hypokalemia, which is manifested by muscle weakness. The nurse first obtains an ECG because potassium imbalances can lead to cardiac dysrhythmias. A potassium level is also warranted, as is placing the client on the nurse. Priority. Documentation should be thorough, but none of these actions takes priority over the ECG.
An older client has gastric cancer and is scheduled to have a partial gastrectomy. The family does not want the client to know the diagnosis. What action by the nurse is best?
- A. Ask the family why they feel this way.
- B. Assess family concerns and fears.
- C. Refuse to comply with the family wishes.
- D. Tell the family that such secrets cannot be kept.
Correct Answer: B
Rationale: The nurse should use open-ended questions and statements to fully assess the family's concerns and fears. Asking why questions often puts people on the defensive and is considered a barrier to therapeutic communication. Refusing to comply or stating that secrets cannot be kept may set up an adversarial relationship.
A client is being taught about drug therapy for Helicobacter pylori infection. What assessment by the nurse is appropriate?
- A. Alcohol intake of 1 to 2 drinks per week
- B. Family history of H. pylori infection
- C. Former smoker still using nicotine patches
- D. Willingness to adhere to drug therapy
Correct Answer: D
Rationale: Treatment for this infection involves either triple or quadruple drug therapy, which may make it difficult for clients to remain adherent. The nurse should assess the client's willingness and ability to follow the regimen. The other assessment findings are not as critical.