Which of the following is a common symptom of diverticular disease?

Frequent urination

Abdominal pain and cramping

Chest tightness

Joint stiffness

Answer and Explanation

The Correct Answer is B

B. Abdominal pain and cramping are common symptoms of diverticular disease, particularly diverticulosis and diverticulitis. The pain is often located in the lower left abdomen and can range from mild to severe. Cramping may occur due to inflammation or spasms in the affected colon segment.
A. Frequent urination is not a common symptom of diverticular disease. Diverticular disease typically involves symptoms related to the gastrointestinal tract, such as abdominal pain, changes in bowel habits, and rectal bleeding.
C. Symptoms related to the chest are more commonly associated with cardiovascular or respiratory conditions rather than gastrointestinal conditions like diverticular disease.
D. Joint stiffness is more commonly associated with musculoskeletal conditions such as arthritis or other inflammatory disorders.

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Correct Answer is D

Explanation

D. Pregnancy is a known risk factor for gallstone formation and cholecystitis. Hormonal changes during pregnancy, particularly increased levels of estrogen, can lead to increased cholesterol saturation in bile, decreased gallbladder emptying, and increased risk of gallstone formation.
A. Fiber helps to regulate bowel movements and may decrease cholesterol levels in bile, thereby reducing the likelihood of gallstone formation.
B. Pregnancy itself can predispose individuals to gallstone formation due to hormonal changes that increase cholesterol saturation in bile. However, normal weight gain reduces the risk of cholecystitis.
C. Certain ethnicities, including individuals of Native American, Hispanic, and African-American ancestry, have a higher prevalence of gallstones compared to other populations. However, ethnicity alone may not be a direct cause of acute cholecystitis.

A. serum white blood cell count of 16,000/mm3. B. pre-albumin level less than 10 mg/dl C. maintenance of baseline weight or gain of up to 1 kg/day. D. negative nitrogen balance.

Correct Answer is C

Explanation

C. The expected effect of TPN is to maintain or promote weight gain in clients who are unable to meet their nutritional needs orally. TPN provides essential nutrients directly into the bloodstream, allowing for adequate caloric intake to support energy needs and promote tissue repair and growth.
A. A serum white blood cell count of 16,000/mm3 indicates leukocytosis, which may suggest infection or inflammation rather than a direct effect of TPN.
B. Pre-albumin is a marker of nutritional status, and levels below 10 mg/dl typically indicate malnutrition rather than a positive response to TPN.
D. Negative nitrogen balance occurs when the body loses more nitrogen than it gains, typically due to inadequate protein intake or increased protein breakdown. TPN provides amino acids, which are the building blocks of protein, and aims to promote a positive nitrogen balance to support tissue repair and growth.

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Which of the following is a common symptom of diverticular disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client admitted with a first episode of acute cholecystitis. Which of the following may have contributed to this event? She:

Correct Answer is D

Explanation

A client was started on total parenteral nutrition (TPN) ten days ago. The nurse recognizes that the expected effect of TPN is a:

Correct Answer is C

Explanation

The nurse teaches a client newly diagnosed with a peptic ulcer about the prescribed medications famotidine and bismuth subsalicylate. Which statement made by the client indicates that the teaching was effective?

What is the most common cause of cystitis?

A client with a new diagnosis of GERD is preparing for discharge from the hospital. Which foods will the nurse teach this client to avoid? (SELECT ALL THAT APPLY)

The client has a possible diagnosis of appendicitis. On physical examination, the nurse should assess for tenderness on palpation at McBurney's point, located at which pictured site?

The nurse is teaching a client about dietary management post gastric banding (Lap-band) surgery. Which information does the nurse plan to Include?

The nurse is caring for a client who has a history of peptic ulcer disease and is being admitted to the hospital with clinical manifestations of a perforation. Which finding by the nurse would best Indicate that perforation has occurred?

The nurse assesses a client admitted four hours ago with a diagnosis of diverticulitis. Which clinical manifestation must be reported immediately to the physician?

A client newly diagnosed with Crohn's disease asks the nurse what to expect in the future. The best response by the nurse would be: