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Sas 2

This document appears to be a series of multiple choice questions related to gastritis and nursing interventions for patients with gastritis. It covers topics like the causes of acute and chronic gastritis, effects of chronic gastritis like pernicious anemia, risks of nonsteroidal anti-inflammatory drugs, treatments like reducing stress, risks like H. pylori infection, autoimmune gastritis, appropriate nursing interventions like avoiding irritating foods and addressing nutrition/fluid needs, and the use of NG tubes including confirming placement and managing residuals.

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Charlene Lagradilla
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55 views2 pages

Sas 2

This document appears to be a series of multiple choice questions related to gastritis and nursing interventions for patients with gastritis. It covers topics like the causes of acute and chronic gastritis, effects of chronic gastritis like pernicious anemia, risks of nonsteroidal anti-inflammatory drugs, treatments like reducing stress, risks like H. pylori infection, autoimmune gastritis, appropriate nursing interventions like avoiding irritating foods and addressing nutrition/fluid needs, and the use of NG tubes including confirming placement and managing residuals.

Uploaded by

Charlene Lagradilla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Charlene H.

Lagradilla
BSN 3-A7

SAS 2

CHECK FOR UNDERSTANDING:

1.D - Acute Gastritis is often caused by infection of strong acids, fats that are irritating, spicy,
too highly seasoned or contaminated with disease-causing microorganisms and overuse of
Aspirin.

2.C - The appropriate definition for Gastritis is an inflammation of the gastric or stomach
mucosa which is common in GI problems.

3. D - Nonsteroidal Anti-inflammatory drugs (NSAIDS) are a common cause of gastritis because


they inhibit prostaglandin synthesis.

4. B - Chronic gastritis causes deterioration and atrophy of the lining of the stomach, leading to
the loss of the function of the parietal cells. The source of the intrinsic factor is lost, which
results in the inability to absorb Vitamin B12.

5. B - Indomethacin (Indocin) is a nonsteroidal anti-inflammatory drug and can cause ulceration


of the esophagus, stomach, or small intestine. It is contraindicated in a client with
gastrointestinal disorders.

6. A - Reducing work stress helps in treatment of acute gastritis. 7. D - Helicobacter pylori


infection is the risk factor which can lead to chronic gastritis.

8. B - Autoimmune gastritis is a chronic inflammatory disease with destruction of parietal cells


of the corpus and fundus of the stomach. The known consequences is inability to absorb
Vitamin B12 and consequently, pernicious anemia.

9. A - To relieve pain to a client with gastritis, avoiding foods and beverages that may be
irritating to the gastric mucosa is the first priority of nursing intervention.

10. ABCD Acute pain related to irritated stomach mucosa, Anxiety related to treatment,
Imbalanced nutrition, less than body requirements related to inadequate intake of nutrients,
Risk for imbalanced fluid volume related to insufficient fluid intake and excessive fluids are all
appropriate nursing interventions.

11. A - An NG tube is inserted into the patient's stomach to drain fluid and gas.
12. A - Aspirating the stomach contents confirms correct placement. If an X-ray is ordered, it
should be done immediately, not in 24 hours.

13. B - TPN is given I. V. to provide all the nutrients the patient needs. TPN isn't tube feeding
nor is it a liquid dietary supplement.

14. C - NG tubing is used to provide nutrition to people who cannot obtain nutrition by mouth,
are unable to swallow safely, or need nutritional supplementation.

15. B - A gastric residual greater than 2 hours worth of feeding or 100-150 mL is considered too
high. The feeding should be stopped; the NG tube clamped and then allowed time for the
stomach to empty before additional feeding is added.

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