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 B
Explanation
A. Echinacea: Echinacea is commonly used for its immune-boosting properties, but it is not known for relieving nausea.
B. Ginger: This is the correct answer. Ginger has been widely used to relieve nausea, including morning sickness during pregnancy. It has natural anti-nausea properties and is considered safe in moderation during pregnancy.
C. Mint: Mint is often used for digestive issues and can help with mild nausea, but ginger is the most commonly recommended for pregnancy-related nausea.
D. Hyssop: Hyssop is typically used for respiratory issues and has not been widely recommended for nausea associated with pregnancy.
Correct Answer is C
Explanation
A. "Imagery may help control pain.": This is an appropriate pain management strategy.
B. "Sitz baths are ordered to soothe the area.": Sitz baths are commonly recommended for pain relief and hygiene after hemorrhoidectomy.
C. "Fluids are restricted.": Adequate hydration is essential to prevent constipation, which can strain the surgical site.
D. "Bleeding should be reported.": Postoperative bleeding, beyond minor spotting, is a concerning symptom and should be reported promptly.
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