The client diagnosed with acute diverticulitis is complaining of severe abdominal pain. On assessment, the nurse finds a hard, rigid abdomen and a temperature of 102 F. Which of the following is the highest priority?

Administer an antipyretic

Notify the healthcare provider

Prepare to administer an enema.

Continue to monitor the client closely

Answer and Explanation

The Correct Answer is B

peritonitis are present. Treating the underlying cause (perforation) is more urgent than lowering the fever.

B. Notify the healthcare provider: A hard, rigid abdomen with fever indicates possible perforation and peritonitis, which is a medical emergency. The provider must be notified immediately for urgent intervention.

C. Prepare to administer an enema: Enemas are contraindicated in acute diverticulitis due to the risk of perforation.

D. Continue to monitor the client closely: While continued monitoring is always necessary, immediate action (calling the provider) is critical when signs of peritonitis are present.

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Correct Answer is C

Explanation

A. A client who works in a child care center: Hepatitis A is more commonly spread in child care settings due to fecal-oral transmission, not hepatitis C, which is bloodborne.

B. A client who has recently traveled to an underdeveloped country: Hepatitis A and E are more common in developing countries due to poor sanitation. Hepatitis C is primarily transmitted through blood.

C. A client who has multiple tattoos: Clients with multiple tattoos are at risk if proper sterilization techniques were not followed, as hepatitis C is transmitted through contaminated blood.

D. A client who eats raw shellfish: Raw shellfish is associated with hepatitis A, not hepatitis C.

A. Moist and formed B. Ribbon like C. Mucus coated D. Loose and liquid

Correct Answer is A

Explanation

A. Moist and formed: A left-sided ostomy is likely from the descending or sigmoid colon, where stool is more formed and solid because most water has been absorbed.

B. Ribbon-like: Ribbon-like stool is often associated with bowel obstruction or colorectal cancer, not a normal ostomy output.

C. Mucus-coated: Mucus-coated stool is more typical in patients with an ileostomy or colitis, not a long-term colostomy.

D. Loose and liquid: Liquid stool is expected with an ileostomy (right-sided ostomy), where less water is absorbed.

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The client diagnosed with acute diverticulitis is complaining of severe abdominal pain. On assessment, the nurse finds a hard, rigid abdomen and a temperature of 102 F. Which of the following is the highest priority?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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