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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: 1 tablet (50 mcg) provides half the 100 mcg dose, insufficient for hypothyroidism treatment, underdosing the required thyroid hormone replacement level.
Choice B reason: 2 tablets (50 mcg each) equal 100 mcg, matching the prescribed dose, ensuring adequate T4 replacement for hypothyroidism’s metabolic needs daily.
Choice C reason: 3 tablets (150 mcg) exceed the 100 mcg dose, risking hyperthyroidism symptoms like tachycardia or nervousness from excessive thyroid hormone administration.
Choice D reason: 4 tablets (200 mcg) grossly overdose the 100 mcg requirement, potentially causing severe thyrotoxicosis, disrupting metabolism and cardiac function dangerously.
Correct Answer is A
Explanation
Choice A reason: Albuterol, a bronchodilator, rapidly opens airways in COPD, relieving acute shortness of breath and improving oxygenation from 85% by relaxing bronchial smooth muscle.
Choice B reason: Mucolytics thin mucus over time, not addressing acute dyspnea or low saturation (85%) quickly, lacking the immediacy needed in this scenario.
Choice C reason: Montelukast prevents asthma inflammation long-term via leukotriene blockade, not providing rapid relief for COPD’s acute bronchospasm or hypoxia here.
Choice D reason: Prednisone reduces COPD inflammation systemically, but its slow onset doesn’t acutely reverse shortness of breath or oxygen drop like a bronchodilator.
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