A nurse is planning care for a dent who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?

Dysphagia

Crohn’s disease

Peritonitis

Ulcerative colitis

Answer and Explanation

The Correct Answer is C

A. Dysphagia: Dysphagia (difficulty swallowing) is unrelated to diverticulitis; it is more common in esophageal disorders.

B. Crohn’s disease: Crohn’s disease is a separate chronic inflammatory bowel disease (IBD), not a complication of diverticulitis.

C. Peritonitis: Peritonitis is a life-threatening complication of diverticulitis. If an inflamed diverticulum perforates, stool and bacteria spill into the peritoneal cavity, causing severe abdominal pain, rigidity, fever, and tachycardia.

D. Ulcerative colitis: Ulcerative colitis is another form of IBD, unrelated to diverticulitis.

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Correct Answer is B

Explanation

A. Hang IV fluids of CSNS with 20 mEq of potassium chloride at 125 ml/hr: Fluid resuscitation is important, but potassium should not be administered until electrolyte levels are assessed. Also, potassium administration in a client with a bowel obstruction requires caution due to the risk of hyperkalemia if renal function is impaired.

B. Insert a nasogastric tube: A nasogastric (NG) tube is essential in managing bowel obstruction as it helps decompress the stomach, relieve pressure, and prevent aspiration. This should be done first to stabilize the client.

C. Draw a basic metabolic panel: Checking electrolyte imbalances is important but should be done after stabilizing the client with NG tube insertion.

D. Ambulate in the hallway: Ambulation is contraindicated in acute bowel obstruction due to the risk of worsening symptoms such as nausea, vomiting, and severe pain.

A. Contact B. Standard C. Droplet D. Airborne

Correct Answer is B

Explanation

A. Contact: Hepatitis C is transmitted primarily through blood, not through direct contact (e.g., touching contaminated surfaces). Contact precautions are not necessary unless there are open wounds or excessive body fluid exposure.

B. Standard: Hepatitis C is a bloodborne virus transmitted through exposure to infected blood (e.g., needlestick injuries, IV drug use). Standard precautions, including hand hygiene, glove use, and proper handling of sharps, are sufficient.

C. Droplet: Hepatitis C is not spread via respiratory droplets (e.g., sneezing, coughing). Droplet precautions are unnecessary.

D. Airborne: Hepatitis C is not transmitted via airborne particles (e.g., tuberculosis, measles). Airborne precautions are unnecessary.

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A nurse is planning care for a dent who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?

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