A patient was treated in the emergency department and critical care unit after ingesting bleach. What possible complication of the resulting gastritis should the nurse recognize?
A) Esophageal or pyloric obstruction related to scarring
B) Uncontrolled proliferation of H. pylori
C) Gastric hyperacidity related to excessive gastrin secretion
D) Chronic referred pain in the lower abdomen
Ans: A
Feedback:
A severe form of acute gastritis is caused by the ingestion of strong acid or alkali, which may cause the mucosa to become gangrenous or to perforate. Scarring can occur, resulting in pyloric stenosis (narrowing or tightening) or obstruction. Chronic referred pain to the lower abdomen is a symptom of peptic ulcer disease, but would not be an expected finding for a patient who has ingested a corrosive substance. Bacterial proliferation and hyperacidity would not occur.
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