A client diagnosed with diverticulitis has been experiencing episodes of gastrointestinal cramping. The nurse should tell the client to maintain which type of diet during the asymptomatic period?

High in carbohydrates.

High in fiber.

Low in residue.

Low in fat.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A diet high in carbohydrates is not specifically recommended for diverticulitis during the asymptomatic period. While carbohydrates are an essential part of a balanced diet, they do not specifically aid in preventing diverticulitis flare-ups. Instead, a high-fiber diet is more beneficial as it helps in maintaining regular bowel movements and preventing constipation, which can reduce the risk of diverticula formation and inflammation.

Choice B rationale

A diet high in fiber is recommended during the asymptomatic period of diverticulitis. Fiber helps to soften the stool and increase its bulk, which can prevent constipation and reduce pressure on the colon. This can help prevent the formation of diverticula and reduce the risk of diverticulitis flare-ups. Foods high in fiber include fruits, vegetables, whole grains, and legumes.

Choice C rationale

A low-residue diet is typically recommended during an acute diverticulitis flare-up to reduce bowel movements and allow the colon to heal. However, during the asymptomatic period, a high-fiber diet is more beneficial in preventing future flare-ups.

Choice D rationale

A diet low in fat is not specifically recommended for diverticulitis. While reducing fat intake can be beneficial for overall health, it does not specifically address the prevention of diverticulitis flare-ups. A high-fiber diet is more effective in maintaining bowel health and preventing diverticulitis.

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Correct Answer is A

Explanation

Choice A rationale

Checking the circulation of the affected extremity is crucial because the greatest risk to the client is neuromuscular injury resulting from compartment syndrome. Compartment syndrome is a serious condition that occurs when there’s increased pressure within the muscles, leading to decreased blood flow, which can cause muscle and nerve damage. Early detection and intervention are essential to prevent permanent damage.

Choice B rationale

Administering additional pain medication might provide temporary relief, but it does not address the underlying issue of potential compartment syndrome. Pain unrelieved by medication is a key indicator of this condition, and addressing circulation is the priority.

Choice C rationale

Repositioning the affected extremity might help with comfort, but it does not address the potential for compartment syndrome. The primary concern is ensuring adequate blood flow to prevent tissue damage.

Choice D rationale

Documenting the findings is important for medical records, but it does not address the immediate risk of compartment syndrome. Immediate action to check circulation is necessary to prevent serious complications.

A. Serosanguineous drainage. B. Mild erythema. C. Warmth. D. Fever.

Correct Answer is D

Explanation

Choice A rationale

Serosanguineous drainage is a normal finding at pin sites and does not indicate infection. It is a mixture of serum and blood and is expected during the initial healing phase.

Choice B rationale

Mild erythema around the pin sites can be a normal inflammatory response and does not necessarily indicate infection. It is important to monitor for other signs of infection.

Choice C rationale

Warmth at the pin sites can be a normal finding due to increased blood flow during the healing process. However, it should be monitored in conjunction with other signs of infection.

Choice D rationale

Fever is a systemic sign of infection and indicates that the body is responding to an infectious process. It is a critical finding that requires prompt attention and intervention.

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A client diagnosed with diverticulitis has been experiencing episodes of gastrointestinal cramping. The nurse should tell the client to maintain which type of diet during the asymptomatic period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a full arm cast and reports a pain level of 8 on a scale of 0 to 10, which is unrelieved by pain medication. Which of the following actions should the nurse plan to take first?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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