Which of the following should a nurse monitor closely in a client with chronic gastritis?

In a client with chronic gastritis, monitoring for signs of vitamin deficiencies is particularly important due to the impact that gastritis has on nutrient absorption. Chronic gastritis can lead to inflammation of the stomach lining, which may impair the absorption of crucial vitamins such as vitamin B12, iron, and vitamin C. This can result in deficiencies over time, leading to a variety of health issues including anemia and neurological problems.

Vitamin B12 deficiency, for instance, can occur because the stomach lining produces intrinsic factor, which is essential for vitamin B12 absorption in the intestine. When the stomach lining is damaged or inflamed, intrinsic factor production may be decreased, leading to potentially serious consequences if not addressed. Monitoring for signs of these deficiencies, such as fatigue, pallor, neuropathy, and gastrointestinal upset, can greatly aid in the management and treatment of the client’s condition.

Attention to signs of dehydration, hematuria, and signs of infection, while important in other contexts, are not as directly related to the complications typically associated with chronic gastritis as are vitamin deficiencies. Thus, focusing on the signs of vitamin deficiencies provides a better understanding of the long-term effects of chronic gastritis on a client’s nutritional status and overall health.