A client with a history of gastrointestinal upset has been diagnosed with acute diverticulitis. The nurse would anticipate a prescription from the primary health care provider for which type of diet for this client?

A low-fat diet.

A low-fiber diet.

A high-protein diet.

A high-carbohydrate diet.

Answer and Explanation

The Correct Answer is B

Choice A reason: A low-fat diet benefits gallbladder issues, not acute diverticulitis, which requires reduced bowel stimulation. A low-fiber diet prevents irritation, making this incorrect, as it’s less relevant than the nurse’s anticipated prescription for managing acute diverticulitis symptoms effectively.

Choice B reason: A low-fiber diet is prescribed for acute diverticulitis to rest the colon and reduce irritation of inflamed diverticula. This aligns with gastrointestinal treatment protocols, making it the correct diet the nurse would anticipate for the client’s acute diverticulitis management.

Choice C reason: A high-protein diet supports healing but isn’t specific for acute diverticulitis, which needs low fiber to avoid irritation. Low-fiber is correct, making this incorrect, as it’s not the primary diet the nurse expects for managing acute diverticulitis symptoms.

Choice D reason: A high-carbohydrate diet may increase bowel activity, worsening acute diverticulitis. A low-fiber diet reduces stimulation, making this incorrect, as it’s inappropriate compared to the nurse’s anticipated prescription for a diet to manage acute diverticulitis effectively.

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Correct Answer is C

Explanation

Choice A reason: Clamping the T-tube risks bile backup and infection, especially with 750 mL drainage. Notifying the surgeon addresses potential complications, making this incorrect, as it’s unsafe compared to the nurse’s priority of reporting excessive T-tube output.

Choice B reason: Irrigating the T-tube without medical orders risks dislodging it or causing infection. Notifying the surgeon is appropriate for 750 mL drainage, making this incorrect, as it’s risky compared to the nurse’s action to seek medical evaluation.

Choice C reason: Notifying the surgeon is most appropriate, as 750 mL of T-tube drainage may indicate a complication like bile leak or obstruction. This aligns with post-surgical care protocols, making it the correct intervention for the nurse to address excessive drainage.

Choice D reason: Documenting is necessary but doesn’t address the potential complication of 750 mL drainage. Notifying the surgeon is urgent, making this incorrect, as it delays the nurse’s priority of reporting a significant post-surgical T-tube output to the surgeon.

A. “Until your incision is healed, do not submerge your pacemaker. Only take showers.” B. “Report any pulse rates lower than your pacemaker settings.” C. “If you feel weak, apply pressure over your generator.” D. “Have your pacemaker turned off before having magnetic resonance imaging (MRI).” E. “Do not lift your left arm above the level of your shoulder for 8 weeks.”

Correct Answer is ["A","B","E"]

Explanation

Choice A reason: Avoiding submersion until the incision heals prevents infection in a new pacemaker site. This aligns with post-implant care, making it a correct instruction the nurse would include to ensure proper healing and device safety for the client.

Choice B reason: Reporting pulse rates below pacemaker settings indicates potential device failure, requiring prompt evaluation. This aligns with pacemaker monitoring, making it a correct instruction the nurse would teach the client to ensure device function and cardiac stability.

Choice C reason: Applying pressure over the generator doesn’t address weakness and may harm the device. Reporting low pulse rates is correct, making this incorrect, as it’s not a valid instruction for the nurse to include in pacemaker teaching.

Choice D reason: Pacemakers aren’t turned off for MRI; MRI-compatible devices or alternatives are used. Arm movement restriction is correct, making this incorrect, as it’s inaccurate compared to the nurse’s proper instructions for pacemaker care and MRI safety.

Choice E reason: Avoiding arm lifting above the shoulder for 8 weeks prevents lead dislodgement in a new pacemaker. This aligns with post-implant restrictions, making it a correct instruction the nurse would include to protect the device’s integrity.

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A client with a history of gastrointestinal upset has been diagnosed with acute diverticulitis. The nurse would anticipate a prescription from the primary health care provider for which type of diet for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that a client’s T-tube has drained 750 mL of green-brown drainage since the surgery. Which nursing intervention is most appropriate?

Correct Answer is C

Explanation

A nurse teaches a client with a new permanent pacemaker. Which instructions would the nurse include in this client’s teaching? (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

The nurse is planning to teach a client with gastroesophageal reflux disease (GERD) about substances to avoid. Which items would the nurse include on this list? (Select all that apply)

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