NSG 233 Med Surg 3 Exam 2023 Questions and

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NSG 233 Med Surg 3 Exam 2023 Questions and Answers (Verified Answers)

1.what is the most common cause of gastritis: H. pylori

2.H. Pylori is transmitted how?: person to person

3.Patients with acute gastritis may show dehydration or an upper

bleed: GI

4.A urea breathing test can be used to detect a person infected with

: H. Pylori

5.the diagnosis of gastritis is/is not based off clinical manifestations alone?-

: Is not -

we want to look at the clinical manifestations and then use some sort of diagnostic test whether it be a biopsy, urea breathing test, or upper 1 / 4

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GI xray for a confirmed diagnoses 6.medical management for gastritis is supportive care to relieve symptoms. The patient should rest the GI tract by going - hours NPO, then slowly reintroducing clear liquids, then heavier liquids, and finally working

back to solid foods.: 6-12

7.Caffeine and foods should be avoided in patients with

gastri- tis: spicy -

because caffeine and spicy foods can cause irritation 8.A patient with gastritis begins vomiting after eating. What should be

or- dered for the patient?: IV fluids

9.A patient with gastritis may be placed on which medications?: PPI

H2 receptor antagonists antacids - neutralize acids sucralfrate calfrate (should be avoided bc it can cause solid mass) 10.A patient with gastritis is prescribed sucralfrate which has no effects on the gastric pH but provides a to prevent damage from acid by binding to granulation tissues and mucosal beds.: physical barrier 2 / 4

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11.vagotomy: surgical management of gastritis, where the vagus

nerve is sev- ered to reduce secretions of gastric acids in the stomach

12.gastrectomy: surgical management of gastritis, removal of part or

all of the stomach 3 / 4

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13.nursing management assessment of gastritis: •Epigastric pain

•Nausea and vomiting •Decreased appetite •Weight loss Changes in color of stool

14.T/F -

many patients with gastritis do no present with symptoms: true

15.Nursing Interventions for gastritis - assessment: assess vitals -

patients with gastritis tend to have an increased heart rate and a decreased blood pressure History of presenting sign and symptoms - heartburn, nausea, vomiting Lab assessment - H. Pylori presence (foul breath and stool) Serum electrolytes - potassium may be low due to fluid imbalance from vomiting, and sodium may be elevated from fluid deficit Intake and output - pain and decreased appetite may cause less consumption, leading to change in fluid balance and can cause dizziness

16.Nursing intervention with gastritis - actions: administer IV fluid -

fluid re- placement needed after severe loss

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