A nurse is planning care for a client who has acute gastritis. Which of the following nursing interventions should NOT be included in the plan of care?
A.
Provide three large meals a day.
B.
Observe stool characteristics.
C.
Evaluate intake and output.
D.
Monitor laboratory reports of electrolytes.
The Correct Answer and Explanation is:
The correct answer is A. Provide three large meals a day.
Explanation:
Acute gastritis is an inflammation of the stomach lining that can be triggered by factors such as excessive alcohol consumption, stress, bacterial infection (like Helicobacter pylori), or certain medications (especially nonsteroidal anti-inflammatory drugs or NSAIDs). The condition often presents with symptoms like abdominal pain, nausea, vomiting, and dyspepsia.
A. Provide three large meals a day.
This intervention is inappropriate for a client with acute gastritis. Instead of large meals, patients with acute gastritis are generally advised to consume smaller, more frequent meals. Large meals can increase gastric acid secretion and exacerbate symptoms, leading to increased discomfort and potential complications. Smaller meals help reduce the stomach’s workload and minimize acid production, thus alleviating symptoms and aiding in the healing process.
B. Observe stool characteristics.
Monitoring stool characteristics is an essential nursing intervention in managing acute gastritis. It helps in assessing for potential gastrointestinal bleeding or other complications. Changes in stool color, consistency, or the presence of blood can indicate more severe issues, such as erosion of the stomach lining or ulcers.
C. Evaluate intake and output.
Evaluating intake and output is crucial for clients with acute gastritis, particularly if they experience vomiting or diarrhea. This assessment helps ensure that the client remains adequately hydrated and maintains electrolyte balance. It is also useful in monitoring for potential complications related to fluid loss and dehydration.
D. Monitor laboratory reports of electrolytes.
Monitoring electrolytes is an important aspect of care for clients with acute gastritis. Vomiting and diarrhea can lead to electrolyte imbalances, which can be dangerous if not addressed promptly. Regular monitoring allows for timely intervention to correct any imbalances and maintain proper physiological function.
In summary, providing three large meals a day is contraindicated for clients with acute gastritis due to the potential for exacerbating symptoms. Smaller, more frequent meals are preferred to manage the condition effectively and promote healing.