Medical Surgical Gastritis #3

Question

The client has been diagnosed with gastritis in the medical clinic. Which teaching will the nurse include for the client? Select all that apply.

Answers

  1. Work more hours to distract from pain
    • Rationale:

      This answer is not correct because working more hours would possibly not relieve the pain from gastritis. Working less hours with less stress could probably help alleviate worsening symptoms.

  2. Avoid alcohol to decrease gastritis
    • Rationale:

      This answer is correct because intake of alcohol should be avoided since it can cause and worsen gastritis. If the client is addicted to alcohol, the healthcare provider should be contacted to oversee the weaning process.

  3. Give information on smoking cessation
    • Rationale:

      This answer is correct because smoking should be avoided since it can cause and worsen gastritis. Smoking cessation options should be reviewed, including patches or medications to assist in helping the client stop smoking.

  4. Use acetaminophen instead of ibuprofen for pain
    • Rationale:

      This answer is correct because acetaminophen should be taken for pain, instead of ibuprofen. NSAIDs can cause and worsen gastritis. If the client has liver failure, acetaminophen should be avoided also. The healthcare provider should be contacted with pain relief options.

  5. Increase caffeinated drinks to minimize bleeding
    • Rationale:

      This answer is not correct because caffeinated drinks have no effect on bleeding and cause vasoconstriction which may cause worsening pain.

Overview

Since the client has already been diagnosed with gastritis, the nurse should teach the client how to prevent further problems. Gastritis may be caused and worsened from eating spicy foods, certain medications, such as corticosteroids, NSAIDs, drinking alcohol excessively, smoking, and stress. Each of these causes the prostaglandins to be decreased.

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. Clients should be taught how to feel better and causes of worsening symptoms of gastritis, such as alcohol consumption, smoking, and NSAID intake.

Test Taking Tip

The importance of knowing the causes of gastritis is essential for a nurse to understand when teaching the client ways to avoid worsening symptoms of the disease.

Video Rationale