Medical Surgical Gastritis #5

Question

A client is diagnosed with gastric outlet obstruction secondary to severe acute gastritis. Which should the client be monitored related to this condition?

Answers

  1. Barrett’s esophagus
    • Rationale:

      This answer is not correct because Barrett’s esophagus is when the esophagus is damaged from acid reflux causing redness and thickening to the lining of the esophagus. Signs and symptoms of gastric outlet obstruction include nausea, vomiting, distention of the abdomen, epigastric pain, and weight loss.

  2. Chronic diarrhea
    • Rationale:

      This answer is not correct because chronic diarrhea is not one of the signs and symptoms of gastric outlet obstruction. Signs and symptoms of gastric outlet obstruction include nausea, vomiting, distention of the abdomen, epigastric pain, and weight loss.

  3. Metabolic acidosis
    • Rationale:

      This answer is not correct because metabolic alkalosis is a result of gastric outlet obstruction. With excessive vomiting, acid is lost through secretions leaving an alkaline stomach.

  4. Metabolic alkalosis
    • Rationale:

      This answer is correct because metabolic alkalosis can occur due to the nausea and vomiting associated with gastric outlet obstruction. The client’s fluids and electrolytes should be monitored carefully and medications to eliminate or minimize vomiting should be administered consistently.

Overview

Gastric outlet obstruction secondary to severe acute gastritis is caused by deep inflammation of the stomach lining extending to the muscle causing excessive swelling obstructing gastric emptying by stenosis. Signs and symptoms of gastric outlet obstruction include nausea, vomiting, distention of the abdomen, epigastric pain, and weight loss. Metabolic alkalosis may be caused by excessive vomiting losing acidic secretions from stenosis of the gastric outlet.

Explanation

Learning Outcomes

Gastric outlet obstruction secondary to severe acute gastritis is caused by deep inflammation of the stomach lining extending to the muscle causing excessive swelling obstructing gastric emptying by stenosis. Signs and symptoms of gastric outlet obstruction include nausea, vomiting, distention of the abdomen, epigastric pain, and weight loss. When excessive acidic secretions are lost through uncontrolled vomiting, the client has metabolic alkalosis. Signs and symptoms of metabolic alkalosis include tetany, confusion, nausea, vomiting, and muscle twitching.

Test Taking Tip

The client’s fluids and electrolytes should be monitored carefully with metabolic alkalosis and medications should be given to eradicate excessive vomiting consistently.

Video Rationale