A client is suspected to have diverticulosis without symptoms of diverticulitis. Which diagnostic test should the nurse prepare the client to undergo?

Colonoscopy

Magnetic resonance imaging (MRI)

Abdominal ultrasound

Computed tomography (CT) scan with contrast

Answer and Explanation

The Correct Answer is A

Choice A reason: Colonoscopy is the most accurate diagnostic test for diverticulosis, which is the presence of pouches or sacs in the wall of the colon. It allows the direct visualization of the colon and the identification of any diverticula, polyps, or tumors. The nurse should prepare the client to undergo bowel preparation, sedation, and monitoring before and after the procedure.

Choice B reason: Magnetic resonance imaging (MRI) is not a diagnostic test for diverticulosis. It is a non-invasive imaging technique that uses a magnetic field and radio waves to create detailed images of the internal organs and tissues. It is more commonly used for brain, spine, joint, or soft tissue disorders.

Choice C reason: Abdominal ultrasound is not a diagnostic test for diverticulosis. It is a non-invasive imaging technique that uses sound waves to create images of the abdominal organs and structures. It is more commonly used for liver, gallbladder, kidney, or spleen disorders.

Choice D reason: Computed tomography (CT) scan with contrast is not a diagnostic test for diverticulosis. It is an invasive imaging technique that uses x-rays and a contrast dye to create cross-sectional images of the body. It is more commonly used for detecting tumors, abscesses, or bleeding. It is also used for diagnosing diverticulitis, which is the inflammation or infection of the diverticula.

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Correct Answer is A

Explanation

Choice A reason: Dark-colored stools are an adverse effect of orlistat, a medication that blocks the absorption of fat in the intestines. The unabsorbed fat can cause the stools to become oily, foul-smelling, and dark in color. This can indicate a serious condition called steatorrhea, which can lead to malnutrition and vitamin deficiencies.

Choice B reason: Constipation is not an adverse effect of orlistat. In fact, orlistat can cause the opposite problem of diarrhea, especially if the client consumes too much fat in their diet. Constipation may be caused by other factors, such as dehydration, lack of fiber, or medication side effects.

Choice C reason: Nausea is not an adverse effect of orlistat. Nausea may be a symptom of other conditions, such as gastritis, gastroenteritis, or pregnancy. Nausea may also be caused by other medications, such as antibiotics, opioids, or chemotherapy drugs.

Choice D reason: Abdominal pain is not an adverse effect of orlistat. Abdominal pain may be a sign of other conditions, such as appendicitis, gallstones, or kidney stones. Abdominal pain may also be caused by other medications, such as NSAIDs, steroids, or oral contraceptives.

A. Constipation B. Dyspepsia C. Hematemesis D. Epigastric discomfort

Correct Answer is C

Explanation

Choice A reason: Constipation is not a priority finding for a client with peptic ulcer disease. It may be a side effect of some medications or a result of decreased fluid intake, but it does not indicate a serious complication.

Choice B reason: Dyspepsia is a common symptom of peptic ulcer disease, but it is not a priority finding. It refers to indigestion or discomfort in the upper abdomen, which may be relieved by antacids or other medications.

Choice C reason: Hematemesis is a priority finding for a client with peptic ulcer disease. It indicates bleeding from the ulcer, which can lead to shock and anemia. The nurse should monitor the client's vital signs, hemoglobin level, and blood loss, and notify the provider immediately.

Choice D reason: Epigastric discomfort is another common symptom of peptic ulcer disease, but it is not a priority finding. It refers to pain or burning in the upper abdomen, which may be worsened by food intake or stress. The nurse should provide comfort measures and educate the client on dietary and lifestyle modifications.

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A client is suspected to have diverticulosis without symptoms of diverticulitis. Which diagnostic test should the nurse prepare the client to undergo?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is obese about orlistat. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

Correct Answer is A

Explanation

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the PRIORITY?

Correct Answer is C

Explanation

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