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
,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
,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
, 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
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
,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
,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
, 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
