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: Increasing oxygen to 3 L/min may help but risks CO2 retention in COPD without assessing respiratory rate, depth, and saturation first, making it premature.

Choice B reason: Coughing clears secretions, but without assessing respiratory status, it’s unclear if secretions are the issue or if the client can effectively cough, so it’s not priority.

Choice C reason: Calling emergency services assumes severity without data like oxygen saturation or distress level, delaying care by skipping initial assessment in this stable setting.

Choice D reason: Assessing respiratory status (rate, oxygen saturation, lung sounds) identifies the cause of difficulty, guiding interventions like oxygen adjustment or escalation, per ABC priority.

A. pH 7.53, CO2 32, HCO3 24 B. pH 7.30, CO2 52, HCO3 22 C. pH 7.49, CO2 30, HCO3 14 D. pH 7.26, CO2 45, HCO3 18

Correct Answer is B

Explanation

Choice A reason: pH 7.53 and low CO2 (32) indicate respiratory alkalosis from hyperventilation, not typical in chest trauma where breathing is impaired. HCO3 (24) is normal, showing no compensation yet, misaligning with trauma physiology.

Choice B reason: pH 7.30, high CO2 (52), and near-normal HCO3 (22) reflect respiratory acidosis from hypoventilation in chest trauma, like rib fractures, reducing air exchange. Compensation is minimal acutely, fitting the clinical scenario.

Choice C reason: pH 7.49 and low CO2 (30) suggest respiratory alkalosis, while low HCO3 (14) indicates metabolic compensation. This doesn’t match chest trauma’s ventilatory restriction, which elevates CO2 instead.

Choice D reason: pH 7.26, CO2 (45), and low HCO3 (18) show mixed acidosis. Chest trauma primarily causes respiratory acidosis from CO2 retention, not a significant metabolic drop acutely, making this less precise.

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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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