Medical Surgical Gastritis #1

Question

A client has been diagnosed with gastritis. Which medical history predisposes clients to this condition? Select all that apply.

Answers

  1. Alcoholism
    • Rationale:

      This answer is correct because persistent intake of alcohol can cause and greatly worsen gastritis. The healthcare provider should be consulted to oversee the process of withdrawal from alcohol.

  2. Hypothyroidism
    • Rationale:

      This answer is not correct because hypothyroidism does not predispose clients to gastritis. Hypothyroidism is a condition where the thyroid gland does not make adequate hormones.

  3. Chronic asthma
    • Rationale:

      This answer is correct because chronic asthma clients take corticosteroid medications which cause and worsen gastritis. Medications should be prescribed to protect the client from these side effects. These medications may include proton pump inhibitors, H2 antagonist, gastric protectants, and antacids.

  4. Chronic osteoarthritis
    • Rationale:

      This answer is correct because clients with chronic osteoarthritis will take NSAIDs and sometimes, corticosteroid medications, which cause and worsen gastritis. Medications should be prescribed to protect the client from these side effects. These medications may include proton pump inhibitors, H2 antagonist, gastric protectants, and antacids.

  5. Systemic lupus erythematosus
    • Rationale:

      This answer is correct because clients with systemic lupus erythematosus will take prednisone and other anti-inflammatory medications. These medications cause and worsen gastritis. Therefore, medications should be prescribed to protect the client from these side effects. These medications may include proton pump inhibitors, H2 antagonist, gastric protectants, and antacids.

Overview

Certain medical histories can predispose clients to gastritis, including alcoholism, chronic asthma, chronic osteoarthritis, and systemic lupus erythematosus. Clients should be monitored for signs and symptoms of gastritis and potentially prescribed medications to help avoid gastritis risks.

Explanation

Learning Outcomes

Gastritis is a deterioration in the lining of the stomach. The stomach is protected by a layer of mucosal called prostaglandins. Acid is continuously sitting in the stomach, so prostaglandins protect the lining of the stomach from the acid. Gastritis may be caused from eating spicy foods, certain medications, such as corticosteroids, drinking alcohol excessively, smoking, and stress causes the prostaglandins to be decreased. Signs and symptoms of gastritis include stomach burning and pain, nausea and vomiting, black tarry stools, and appetite loss. The two types of gastritis include: acute and chronic. Acute gastritis is a sudden inflammation of the stomach lining. Chronic gastritis is a long-term damage in the lining of the stomach.

Test Taking Tip

Since NSAIDS and steroids can cause and worsen gastritis, understanding conditions which are treated with these medications can help identify those at risk.

Video Rationale