A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4° F and abdominal rigidity. What should the nurse be aware is the most likely cause of these signs and symptoms?
Perforation
Obstruction
Infection
Constipation
The Correct Answer is A
A. Perforation: A temperature of 102.4° F and abdominal rigidity are suggestive of peritonitis, which is a potential complication of diverticulosis. Perforation of a diverticulum can lead to leakage of intestinal contents into the abdominal cavity, causing infection and inflammation.
B. Obstruction: Although obstruction can occur in diverticulosis, it typically causes symptoms such as bloating, abdominal distention, and pain, not fever and rigidity.
C. Infection: While infection can occur with diverticulosis, fever and rigidity in this scenario are more likely due to perforation leading to peritonitis, which is a more severe condition.
D. Constipation: While constipation can exacerbate diverticulosis, it would not typically cause fever or abdominal rigidity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Excessive fluid intake: Excessive fluid intake does not typically cause constipation; rather, insufficient fluid intake is more commonly associated with constipation.
B. Diet low in cheese and yogurt: A diet low in cheese and yogurt is not a cause of constipation. However, a diet low in fiber can contribute to constipation.
C. Diet low in fiber and/or residue: A diet low in fiber and residue is one of the leading causes of constipation, as fiber helps in the formation and movement of stool.
D. Iron supplements: Iron supplements are known to cause constipation as they can slow down bowel movement and harden stool.
E. Use of morphine: Opioid medications like morphine slow down bowel motility and are a common cause of constipation.
Correct Answer is B
Explanation
A. Constipation: This is a common side effect of calcium-based or aluminum-based antacids, not magnesium-based.
B. Diarrhea: Magnesium-based antacid preparations, such as magnesium hydroxide, commonly cause diarrhea because magnesium has an osmotic effect in the intestines, drawing water into the bowel and increasing motility.
C. Heartburn: Magnesium-based antacids are used to treat heartburn, not cause it.
D. Rebound indigestion: This is more commonly associated with calcium-based antacids, such as calcium carbonate.
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