After teaching a patient with diverticular disease, a nurse assesses the client's understanding. Which menu selection indicates the client correctly understood the teaching?
Roasted chicken with rice pilaf and a cup of coffee with cream
Spaghetti with meat sauce, a fresh fruit cup, and hot tea
Garden salad with a cup of bean soup and a glass of low-fat milk
Baked fish with steamed carrots and a glass of apple juice
The Correct Answer is D
A. This meal lacks fiber, which is important in the management of diverticular disease.
B. While the fruit cup adds some fiber, spaghetti and meat sauce are low-fiber and less ideal.
C. While beans and salad are high in fiber, they can cause gas and bloating, which may aggravate symptoms during active diverticulitis.
D. Baked fish and steamed carrots are easy to digest, and apple juice is gentle on the GI tract—appropriate especially if the client is in recovery or trying to prevent flare-ups.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Excessive flatus can occur for many reasons postoperatively but is not a reliable indicator of bile flow restoration.
B. Dark brown stool indicates that bile is entering the intestines and breaking down bilirubin, giving stool its characteristic color. This is a strong sign that bile flow is no longer obstructed.
C. Dark urine suggests that bilirubin is being excreted through the kidneys due to impaired bile flow, not improved flow.
D. Increased appetite is a general sign of recovery but does not specifically reflect restoration of bile flow.
Correct Answer is B
Explanation
A. Hyperactive bowel sounds are more commonly associated with gastrointestinal irritation or diarrhea, not perforation.
B. Sudden, severe abdominal pain is a hallmark sign of gastrointestinal perforation, often described as sharp and unrelenting. It may also be accompanied by abdominal rigidity and signs of peritonitis.
C. A drop in blood pressure (hypotension), not an increase, is more commonly seen in response to internal bleeding or sepsis caused by perforation.
D. Tachycardia, rather than bradycardia, is typically present due to pain and possible shock.
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