What is the primary dietary recommendation for patients diagnosed with diverticulosis?
Increase fiber intake
Increase sugar intake
Reduce protein intake
Reduce water consumption
The Correct Answer is A
Choice A reason: Increasing dietary fiber is the cornerstone of nutritional management for diverticulosis. Fiber adds bulk to the stool, promotes regular bowel movements, and reduces intraluminal pressure in the colon, which helps prevent the formation and inflammation of diverticula.
Choice B reason: Increased sugar intake has no therapeutic benefit in diverticulosis and may contribute to poor overall dietary quality. It does not aid in bowel regulation or reduce diverticular complications.
Choice C reason: Protein intake is not directly related to diverticulosis management. While balanced nutrition is important, reducing protein does not affect diverticular disease progression or symptoms.
Choice D reason: Adequate water consumption is essential when increasing fiber intake to prevent constipation. Reducing water intake would counteract the benefits of fiber and increase the risk of bowel obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Dietary iron restrictions are not typically recommended for clients with ulcerative colitis. In fact, iron supplementation may be necessary due to chronic blood loss. This choice does not reflect a pathophysiological cause of anemia in colitis.
Choice B reason: Intestinal parasites are not a common complication of ulcerative colitis. While they can cause anemia in other contexts, they are not typically associated with inflammatory bowel disease in developed healthcare settings.
Choice C reason: Chronic blood loss from ulcerated and inflamed intestinal mucosa is a major contributor to anemia in ulcerative colitis. Repeated episodes of bleeding during flares lead to iron deficiency and reduced hemoglobin levels, necessitating monitoring and treatment.
Choice D reason: While malabsorption can occur in other gastrointestinal disorders like celiac disease or Crohn’s disease, ulcerative colitis primarily affects the colon, which is not a major site of nutrient absorption. Therefore, this is not a primary cause of anemia in UC.
Correct Answer is A
Explanation
Choice A reason: Hypervolemia is the most likely cause of the client's symptoms. In ESKD, the kidneys lose the ability to excrete excess fluid, leading to fluid overload. This manifests as peripheral edema, pulmonary crackles due to fluid accumulation in the lungs, and elevated blood pressure. These signs reflect volume expansion and impaired renal clearance.
Choice B reason: Hyponatremia may occur in ESKD but does not typically cause crackles or peripheral edema. It presents with neurological symptoms such as confusion, headache, or seizures when severe, rather than fluid overload signs.
Choice C reason: Hyperkalemia is a common electrolyte disturbance in ESKD and can cause cardiac arrhythmias or muscle weakness. However, it does not explain the fluid retention, pulmonary symptoms, or hypertension observed in this scenario.
Choice D reason: Hypovolemia would present with hypotension, dry mucous membranes, tachycardia, and decreased urine output. The client's symptoms are consistent with fluid excess, not deficit.
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