A nurse is planning care for a client who has diverticulitis.
The nurse should plan to monitor the client for which of the following complications of diverticulitis?
Dysphagia.
Ulcerative colitis.
Peritonitis.
Crohn's disease.
The Correct Answer is C
Choice A rationale:
Dysphagia is a difficulty or discomfort with swallowing and is not a complication of diverticulitis. Diverticulitis typically involves inflammation or infection of diverticula in the colon and may present with symptoms such as abdominal pain, fever, and changes in bowel habits, but dysphagia is not a characteristic feature.
Choice B rationale:
Ulcerative colitis is a distinct inflammatory bowel disease and is not a complication of diverticulitis. These conditions have different causes and affect different parts of the digestive tract. While both conditions can cause abdominal discomfort, they are not directly related.
Choice C rationale:
Peritonitis is a potential complication of diverticulitis. When diverticula become infected and rupture, they can spill their contents into the abdominal cavity, leading to peritonitis, which is an inflammation of the peritoneum (the lining of the abdominal cavity). This condition can be life-threatening and requires prompt medical intervention.
Choice D rationale:
Crohn's disease is a separate inflammatory bowel disease and is not a complication of diverticulitis. Crohn's disease can affect any part of the digestive tract, whereas diverticulitis typically occurs in the colon. They have distinct clinical features and treatment approaches. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement, "Depression," does not align with the client's promise to go to church every day if they get better. Depression is one of the Kubler-Ross stages of grief, but it does not reflect the client's behavior of making promises to engage in specific activities if they improve. Therefore, this choice does not represent the client's current stage of grief accurately.
Choice B rationale:
The client's statement, "If I get better, I promise to go to church every day," indicates that the client is in the bargaining stage of grief. During this stage, individuals often make deals or promises in an attempt to reverse or delay the terminal diagnosis or adverse outcome. This response reflects the typical behavior associated with the bargaining stage, making it the correct choice.
Choice C rationale:
The statement, "Denial," is not consistent with the client's promise to go to church every day. Denial is a stage in which individuals may refuse to accept the reality of their situation and may not engage in making promises or deals. Therefore, this choice does not accurately represent the client's current stage of grief.
Choice D rationale:
The statement, "Anger," does not align with the client's promise to go to church every day. Anger is another stage of grief, characterized by frustration and resentment, but it does not correspond to the client's behavior of making promises. This choice does not accurately reflect the client's current stage of grief.
Correct Answer is
Explanation
Choice A rationale:
Constipation in a client on bedrest is a common issue, and one of the primary interventions is to increase fluid intake. Adequate hydration helps soften the stool, making it easier to pass, and can prevent constipation. This intervention is based on sound nursing principles and is the most appropriate choice.
Choice B rationale:
Encouraging the client to drink cold fluids is not a specific intervention for constipation. While staying hydrated is important, the temperature of the fluids is not as relevant to relieving constipation as the overall fluid intake.
Choice C rationale:
Requesting a prescription for mineral oil is not the first-line intervention for constipation. Mineral oil can have potential side effects and should only be used when other measures have failed. Increasing fluid intake and dietary fiber are typically the initial steps taken.
Choice D rationale:
Placing the client on a low-fiber diet is not an appropriate intervention for constipation. A low-fiber diet can exacerbate constipation by reducing the bulk and softness of the stool. This choice is counterproductive to addressing the issue.
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