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 D
Explanation
A. Poor appetite and therefore poor protein intake: While poor appetite can occur in hepatitis, it is not directly related to pruritus.
B. Altered urinary output of bile: Hepatitis affects liver function, but pruritus is not caused by changes in urinary output of bile.
C. Decreased fat intake: Decreased fat intake does not directly lead to pruritus in hepatitis.
D. Accumulation of bile salts under the skin: In hepatitis, liver dysfunction impairs the excretion of bile salts, leading to their accumulation in the skin, which causes pruritus (itching).
Correct Answer is D
Explanation
A. Respiratory distress: Respiratory distress is not a common complication immediately following a liver biopsy.
B. Muscle cramps: Muscle cramps are not directly associated with liver biopsy complications.
C. Headache: Headaches are not typically a complication after a liver biopsy unless they result from other factors like anxiety or pain.
D. Bleeding: Bleeding is the most common and serious complication following a liver biopsy due to the liver's highly vascular nature.
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