A college student comes to the school's health clinic troubled by urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first?

D. A high fiber diet is recommended for individuals with diverticulosis to help maintain bowel regularity and prevent constipation, which can contribute to diverticular symptoms and complications. Increasing fluid intake is also important to support the passage of fiber through the digestive tract and prevent dehydration. Adequate hydration is essential for softening stool and reducing the risk of fecal impaction or exacerbation of diverticular symptoms.
A. A soft diet is not typically recommended for diverticulosis, as it may lack adequate fiber and contribute to constipation. While milk and milk products are sources of calcium and protein, they do not provide the necessary fiber to promote bowel regularity and prevent diverticulosis- related complications.
B. Eating small, frequent meals and sitting up for a period after eating can help reduce symptoms of gastroesophageal reflux disease (GERD), but these measures are not specifically indicated for diverticulosis management. While maintaining an upright position after meals may help prevent GERD symptoms, it is not the most important diet instruction for diverticulosis.
C. A bland diet may be recommended for certain gastrointestinal conditions, but it is not typically indicated for diverticulosis. Avoiding spicy foods may help reduce symptoms in some individuals with gastrointestinal issues, but it is not the primary dietary intervention for managing diverticulosis.

D Initiating IV access with two large bore catheters allows for rapid administration of medications and fluids as needed. Additionally, reviewing the inclusion criteria for IV fibrinolytic therapy is crucial to determine if the client is eligible for this time-sensitive intervention.
Fibrinolytic therapy aims to dissolve blood clots and restore blood flow to the brain, potentially reducing the extent of neurological deficits and improving outcomes in ischemic stroke.
A While laboratory tests such as prothrombin time and platelet count may be important for assessing coagulation status and ruling out bleeding disorders, they are not the priority in the immediate management of a suspected stroke
B Aspirin is commonly used for secondary prevention of ischemic stroke, but its administration in the acute phase of a suspected stroke depends on the specific clinical scenario and treatment guidelines. Aspirin may be contraindicated if IV fibrinolytic therapy is being considered or if the type of stroke is hemorrhagic.
C Elevating the affected limb may be beneficial in certain neurological conditions to reduce swelling or edema, but it is not the priority intervention in the immediate management of a suspected stroke.