The nurse assesses a client admitted 4 hours ago with a diagnosis of diverticulitis. Which assessment finding must be reported immediately to the healthcare provider?
Fecal incontinence.
Abdominal girth unchanged from admission.
Temperature 102.6°F.
Hematoma in the right groin.
The Correct Answer is C
Choice A rationale
Fecal incontinence is not typical of diverticulitis and would be concerning but not necessarily urgent.
Choice B rationale
Unchanged abdominal girth indicates no acute worsening of the condition.
Choice C rationale
A temperature of 102.6°F indicates a significant infection or abscess formation, which needs immediate attention.
Choice D rationale
A hematoma in the right groin is concerning but not directly related to diverticulitis and requires evaluation, but less urgently than a high fever.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While antioxidants can benefit overall health, they do not specifically target the urinary tract or provide the mechanism needed to prevent urinary tract infections.
Choice B rationale
Vitamin C (ascorbic acid) can acidify the urine, creating a less hospitable environment for bacteria, including those causing urinary tract infections (UTIs).
Choice C rationale
Preventing E. coli adhesion to the bladder wall is a specific function of other substances like cranberry juice, not vitamin C. Therefore, this choice does not align with vitamin C's function.
Choice D rationale
Coating the bladder lining is not a known function of vitamin C. Other medical treatments or substances would be needed for this purpose, making this choice incorrect.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Avoid aspirin products. Aspirin can exacerbate gastrointestinal bleeding and irritation in patients with duodenal ulcers.
Choice B rationale
Choose regular coffee instead of herbal tea. Caffeine, found in regular coffee, can increase stomach acid production and should generally be avoided by those with ulcers.
Choice C rationale
Eat a diet rich in dairy products. Dairy products can increase stomach acid production and may worsen ulcer symptoms.
Choice D rationale
Start a smoking cessation program. Smoking can impair healing and increase stomach acid production, making it important to quit smoking for ulcer management.
Choice E rationale
Avoid ibuprofen for pain. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the stomach lining and exacerbate ulcers.
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