The nurse is completing a health history on a patient whose diagnosis is chronic gastritis. Which of the data below should the nurse consider most significantly related to the etiology of the patient's health problem?
A) Consumes one or more protein drinks daily.
B) Takes over-the-counter antacids frequently throughout the day.
C) Smokes two packs of cigarettes daily.
D) Reports a history of social drinking on a weekly basis.
Ans: C
Feedback: Nicotine reduces secretion of pancreatic bicarbonate which inhibits neutralization of gastric acid. Antacid use is a response to experiencing symptoms of gastritis, not the etiology of gastritis. Alcohol ingestion can lead to gastritis; however, this generally occurs in patients with a history of daily consumption of alcohol. Protein drinks do not result in gastric inflammation.
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