A nurse is obtaining a health history from a client who has diverticular disease. Which of the following should the nurse identify as a risk factor for this condition?

Low dietary intake of fiber

Prolonged use of steroids

Insufficient intake of protein

Family history of gallbladder disease

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Low dietary intake of fiber is a significant risk factor for diverticular disease. A diet low in fiber can lead to constipation and increased pressure in the colon, contributing to the formation of diverticula.

Choice B rationale:

Prolonged use of steroids is not a primary risk factor for diverticular disease.

Choice C rationale:

Insufficient intake of protein is not a significant risk factor for diverticular disease.

Choice D rationale:

Family history of gallbladder disease is not directly associated with an increased risk of diverticular disease.

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Correct Answer is B

Explanation

Choice A rationale:

Using a disposable adhesive probe when measuring the client's SaO2 is not an intervention that can reduce the exposure of the client to latex, because adhesive probes may contain latex and cause skin reactions. A better option would be to use a non-adhesive probe or a probe cover that is latex-free.

Choice B rationale:

Rationale: Latex sensitivity or allergy can lead to adverse reactions when exposed to latex- containing products, such as blood pressure cuffs. Wrapping the blood pressure cuff in a stockinette helps minimize direct contact between the cuff and the client's skin.

Choice C rationale:

Silicone products are usually considered safe for individuals with latex sensitivity because silicone is a different material. Silicone products are generally safe for clients who are sensitive to latex, unless they have a separate allergy to silicone.

Choice D rationale:

Cleaning vial stoppers for 15 seconds before using them to withdraw-medications for the client is not an intervention that can reduce the exposure of the client to latex, because vial stoppers may be made of latex or rubber and cleaning them does not remove the allergen. A better option would be to use vials that have latex-free stoppers or to avoid puncturing the stoppers with needles.

A. Establish a therapeutic relationship with the client. B. Instruct the client on stress management techniques. C. Have the client sign a no-suicide contract. D. Maintain constant observation of the client.

Correct Answer is D

Explanation

Choice A rationale:

Establishing a therapeutic relationship is important, but the immediate priority is to ensure the safety of the client by maintaining constant observation.

Choice B rationale:

Instructing the client on stress management techniques is important, but safety comes first.

Choice C rationale:

Having the client sign a no-suicide contract may provide some reassurance, but it is not a substitute for constant observation.

Choice D rationale:

Maintaining constant observation of the client is the priority to prevent any further self-harm or suicide attempts.

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A nurse is obtaining a health history from a client who has diverticular disease. Which of the following should the nurse identify as a risk factor for this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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