An adult patient has been diagnosed with diverticular disease after ongoing challenges with constipation. The patient will be treated on an outpatient basis. What components of treatment should the nurse anticipate? Select all that apply.

Anticholinergic medications

Increased fiber intake

Reduced fat intake

Fluid reduction

Enemas on alternating days

Answer and Explanation

Correct Answer : A,B

Choice A reason:

Anticholinergic medications: These are not a component of treatment for diverticular disease. Anticholinergic medications can reduce intestinal motility and cause dry mouth, constipation, and urinary retention, which can aggravate the diverticula and increase the risk of complications. The patient should avoid these medications unless prescribed by a doctor for another condition.

Choice B reason:

Increasing fiber intake is a common component of treatment for diverticular disease as it can help prevent constipation and reduce the risk of diverticulitis.

Choice C reason:

Reducing fat intake is also important in the treatment of diverticular disease, as a low-fat diet can help prevent further irritation of the colon.

Choice D reason:

This is not a component of treatment for diverticular disease. On the contrary, adequate fluid intake is essential to prevent dehydration and constipation, which can worsen the condition. The patient should drink at least eight glasses of water per day or more if they have a high-fiber diet.

Choice E reason:

These are not a component of treatment for diverticular disease. Enemas can irritate the colon and increase the pressure in the diverticula, which can lead to perforation or bleeding. The patient should avoid enemas unless instructed by a doctor for a specific reason.

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Correct Answer is C

Explanation

Choice A reason:

This statement does not address the client's use of bisacodyl tablets and instead provides general information about irregular bowel movements.

Choice B reason:

Decreasing fiber intake is not a recommended approach, especially for an older adult who may benefit from a balanced diet with adequate fiber.

Choice C reason:

This is the correct answer. Excessive use of laxatives, including bisacodyl, can lead to electrolyte imbalances. Bisacodyl is a stimulant laxative that can cause excessive fluid loss and potentially disrupt electrolyte levels.

Choice D reason:

While chronic use of laxatives can lead to various complications, including potential harm to the rectal mucosa, this choice is not the most appropriate response to the client's current situation.

Correct Answer is ["31.25"]

Explanation

To calculate the correct rate of flow for this patient, we need to use the formula: Rate (gtt/min) = Volume (mL) x Calibration (gtt/mL) / Time (min)
Plugging in the given values, we get: Rate (gtt/min) = 125 mL x 15 gtt/mL / 60 min
Simplifying, we get: Rate (gtt/min) = 31.25 gtt/min
Therefore, the correct rate of flow for this patient is 31.25 gtt/min

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An adult patient has been diagnosed with diverticular disease after ongoing challenges with constipation. The patient will be treated on an outpatient basis. What components of treatment should the nurse anticipate? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A patient, admitted with a head injury, has an order for DSNS at 125 ml/hour. The IV tubing has a calibration of 15gtt/mL. What is the correct rate of flow for this patient in gtt/min?

Correct Answer is ["31.25"]

Explanation

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