A patient, taking NSAIDs for osteoarthritis, is admitted with acute erosive gastritis caused by alcohol ingestion. Which of the following would be a priority for this patient?
1. assess what other pain control measures help with the arthritis
2. suggest opioids be used for arthritis pain control
3. encourage alcohol consumption with meals
4. instruct to avoid alcohol with NSAIDs use
4
Rationale: Acute erosive gastritis, or a transient inflammation of the gastric mucosa, is commonly caused by NSAIDs, alcohol, and acute stress. Chronic alcohol ingestion can result in inflammation of the gastric mucosa and the inflammation can progress to erosions and hemorrhage. Episodes of upper gastrointestinal bleeding as a result of this alcohol-induced gastritis are usually mild. But since the risk for bleeding significantly increases if a person continues to drink alcohol while on long term NSAID therapy, the nurse should instruct the patient to avoid the ingestion of alcohol when taking NSAIDs. The nurse could assess other pain control measures that could help with the patient's arthritis however the main issue is ingesting alcohol with NSAIDs. Opioids are very powerful pain control medications and may or may not be indicated for this patient. The nurse should not encourage alcohol consumption with meals.
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