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 B

Explanation

Choice A reason: Assessing pain at the insertion site is important but less urgent than ensuring vascular patency post-catheterization. Checking pulses detects complications like occlusion, making this incorrect, as it’s secondary to the nurse’s priority of monitoring for vascular issues immediately post-procedure.

Choice B reason: Assessing dorsalis pedis and posterior tibial pulses is most important to detect vascular complications, such as arterial occlusion, post-cardiac catheterization. This aligns with post-procedure protocols, making it the correct action to ensure limb perfusion and prevent serious complications immediately.

Choice C reason: Observing the access site for bleeding is key but secondary to ensuring distal perfusion via pulses. Vascular occlusion is a greater risk, making this incorrect, as it’s less urgent than the nurse’s priority of checking pulses post-cardiac catheterization.

Choice D reason: Checking capillary refill time assesses perfusion but is less specific than pulse assessment for detecting arterial issues post-catheterization. Pulses are the priority, making this incorrect, as it’s secondary to the nurse’s focus on immediate vascular integrity post-procedure.

A. Testing skin turgor. B. Assessing cognition. C. Monitoring urine output. D. Checking deep tendon reflexes. E. Asking about any abdominal pain. F. Checking for the presence of fever.

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Testing skin turgor assesses dehydration, not severe hyponatremia (118 mEq/L), which affects neurological status. Assessing cognition detects complications, making this incorrect, as it’s less critical than the nurse’s priority of monitoring for hyponatremia’s neurological and fluid effects.

Choice B reason: Assessing cognition is critical with a sodium level of 118 mEq/L, as severe hyponatremia causes confusion or seizures. This aligns with neurological assessment, making it a correct action the nurse should perform to prevent harm in the hyponatremic client.

Choice C reason: Monitoring urine output tracks fluid balance, vital in hyponatremia to assess for SIADH or fluid overload. This aligns with renal assessment, making it a correct action the nurse should perform to prevent harm in the client with severe hyponatremia.

Choice D reason: Checking deep tendon reflexes detects neurological changes from hyponatremia, such as hyporeflexia or seizures. This aligns with neurological monitoring, making it a correct assessment the nurse should perform to prevent harm in the client with a sodium of 118 mEq/L.

Choice E reason: Abdominal pain is unrelated to hyponatremia, which primarily affects the brain and fluid balance. Monitoring urine output is more relevant, making this incorrect, as it’s not a priority assessment for the nurse to prevent harm in the hyponatremic client.

Choice F reason: Fever may indicate infection but isn’t directly linked to hyponatremia’s neurological risks. Assessing cognition is critical, making this incorrect, as it’s less urgent than the nurse’s focus on preventing harm from severe hyponatremia’s neurological complications.

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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?

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Naxlex Comprehensive Predictor Exams

A client returns to the unit immediately following a cardiac catheterization. Which action by the nurse is MOST important?

Correct Answer is B

Explanation

Which assessments are most important for the nurse to perform to prevent harm on a client with a sodium level of 118 mEq/L (mmol/L)? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

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