A nurse is caring for an 84-year-old male client in the medical unit.

The client was admitted from a provider’s office with complaints of fatigue, dizziness, and shortness of breath. The nurse reviews the client’s medical records to prepare the client’s plan of care.

Exhibits

The client demonstrates mild orthostatic hypotension, with a drop in blood pressure upon standing.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

Choice A rationale

Lithotripsy, which uses shock waves to break up stones, is not part of an oral cholangiogram. An oral cholangiogram involves the use of a contrast dye to visualize the gallbladder and bile ducts on X-ray.

Choice B rationale

An endoscopic procedure, such as an endoscopic retrograde cholangiopancreatography (ERCP), involves inserting a camera down the throat. However, an oral cholangiogram is a non- invasive imaging test that uses contrast dye.

Choice C rationale

Correct. An oral cholangiogram involves the ingestion of a contrast dye that helps visualize the gallbladder and bile ducts on X-ray.

Choice D rationale

Medications to dissolve gallstones are not used in an oral cholangiogram. This procedure is purely diagnostic and involves the use of contrast dye to visualize the gallbladder and bile ducts.

Choice A rationale

A diet high in carbohydrates is not specifically recommended for diverticulitis during the asymptomatic period. While carbohydrates are an essential part of a balanced diet, they do not specifically aid in preventing diverticulitis flare-ups. Instead, a high-fiber diet is more beneficial as it helps in maintaining regular bowel movements and preventing constipation, which can reduce the risk of diverticula formation and inflammation.

Choice B rationale

A diet high in fiber is recommended during the asymptomatic period of diverticulitis. Fiber helps to soften the stool and increase its bulk, which can prevent constipation and reduce pressure on the colon. This can help prevent the formation of diverticula and reduce the risk of diverticulitis flare-ups. Foods high in fiber include fruits, vegetables, whole grains, and legumes.

Choice C rationale

A low-residue diet is typically recommended during an acute diverticulitis flare-up to reduce bowel movements and allow the colon to heal. However, during the asymptomatic period, a high-fiber diet is more beneficial in preventing future flare-ups.

Choice D rationale

A diet low in fat is not specifically recommended for diverticulitis. While reducing fat intake can be beneficial for overall health, it does not specifically address the prevention of diverticulitis flare-ups. A high-fiber diet is more effective in maintaining bowel health and preventing diverticulitis.