The nurse is caring for a client admitted with acute diverticulitis. Which would the nurse anticipate the healthcare provider ordering for this client?

Albumin and furosemide

A high fiber diet with increased fluid intake

Maintain NPO and IV fluids

Obtain a consent for a barium enema

Answer and Explanation

The Correct Answer is C

Choice A reason: Albumin and furosemide treat fluid shifts or edema, not acute diverticulitis, which requires bowel rest, not volume or protein correction initially.

Choice B reason: High fiber aids chronic diverticulosis, but in acute diverticulitis, it worsens inflammation; rest, not fiber, is needed during active infection.

Choice C reason: NPO and IV fluids rest the bowel, reducing inflammation and perforation risk in acute diverticulitis, while maintaining hydration, the standard approach.

Choice D reason: Barium enema risks perforation in acute diverticulitis due to inflamed diverticula; it’s contraindicated until inflammation subsides, not ordered acutely.

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Correct Answer is D

Explanation

Choice A reason: Salmeterol, a long-acting bronchodilator, opens airways in asthma or COPD but doesn’t dilate coronary arteries or improve cardiac ischemia, targeting lungs instead.

Choice B reason: Aspirin prevents clotting by inhibiting platelet aggregation, reducing ischemia risk, but it doesn’t directly dilate coronary arteries or acutely redirect blood flow.

Choice C reason: Digoxin increases cardiac contractility in heart failure, improving output, but it doesn’t dilate coronary vessels or specifically oxygenate ischemic myocardium.

Choice D reason: Nitroglycerin, a vasodilator, relaxes coronary arteries, increasing blood flow to ischemic areas, relieving angina by enhancing oxygen delivery to the heart muscle.

A. Butterfly rash B. Pleural effusions C. Elevated ammonia levels D. Pericarditis E. Esophageal varices

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Butterfly rash, a malar erythema, is a classic SLE sign, triggered by photosensitivity and immune complex deposition in skin, reflecting systemic inflammation.

Choice B reason: Pleural effusions occur in SLE from serositis, where autoantibodies inflame pleura, causing fluid buildup, a common thoracic manifestation of the disease.

Choice C reason: Elevated ammonia levels relate to liver failure, not SLE, which affects kidneys and joints, not ammonia metabolism, making this unrelated.

Choice D reason: Pericarditis in SLE results from immune-mediated inflammation of the pericardium, causing chest pain and effusion, a frequent cardiac feature.

Choice E reason: Esophageal varices stem from portal hypertension in cirrhosis, not SLE, which targets connective tissues, not liver vasculature directly.

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The nurse is caring for a client admitted with acute diverticulitis. Which would the nurse anticipate the healthcare provider ordering for this client?

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Naxlex Comprehensive Predictor Exams

Which of the following medications are going to dilate the coronary arteries and redirect blood flow so that ischemic tissue is oxygenated?

Correct Answer is D

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Correct Answer is ["A","B","D"]

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