A nurse is planning care for a client who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?

Ulcerative colitis

Dysphagia

Peritonitis

Crohn's disease

Answer and Explanation

The Correct Answer is C

Choice A reason: Ulcerative colitis is not a complication of diverticulitis. Ulcerative colitis is a chronic inflammatory bowel disease that causes ulcers and inflammation in the colon and rectum. Diverticulitis is an acute condition that occurs when small pouches called diverticula in the colon become infected or inflamed.

Choice B reason: Dysphagia is not a complication of diverticulitis. Dysphagia is a term for difficulty swallowing, which can have many causes, such as stroke, nerve damage, or esophageal cancer. Diverticulitis affects the lower part of the digestive tract, not the upper part.

Choice C reason: Peritonitis is a complication of diverticulitis. Peritonitis is an inflammation of the peritoneum, the membrane that lines the abdominal cavity. It can be caused by a perforation or rupture of a diverticulum, which allows bacteria and fecal matter to enter the peritoneal space. Peritonitis is a serious and life-threatening condition that requires immediate medical attention.

Choice D reason: Crohn's disease is not a complication of diverticulitis. Crohn's disease is a chronic inflammatory bowel disease that can affect any part of the digestive tract, causing ulcers, fistulas, and strictures. Diverticulitis is an acute condition that affects only the colon, not the entire digestive tract.

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Correct Answer is A

Explanation

Choice A reason: This is the correct answer because weighing 28% above ideal body weight is a sign of obesity. Ideal body weight is an estimate of the weight that corresponds to the lowest mortality for a given height and gender. Obesity is defined as having a body weight that is 20% or more above ideal body weight.

Choice B reason: This is not the correct answer because having a waist circumference of 81.3 cm (32 in) is not a manifestation of obesity. Waist circumference is a measure of abdominal fat, which is associated with increased health risks. However, the cut-off point for waist circumference varies by gender and ethnicity. For women, a waist circumference of more than 88 cm (35 in) is considered high.

Choice C reason: This is not the correct answer because having a BMI of 28 is not a manifestation of obesity. BMI is a measure of body mass index, which is calculated by dividing weight in kilograms by height in meters squared. BMI is used to classify weight status and health risks. For adults, a BMI of 18.5 to 24.9 is considered normal, 25 to 29.9 is considered overweight, and 30 or more is considered obese.

Choice D reason: This is not the correct answer because having a body fat of 22% is not a manifestation of obesity. Body fat is a measure of the percentage of fat in the body, which is determined by various methods such as skinfold thickness, bioelectrical impedance, or underwater weighing. Body fat is influenced by age, gender, and physical activity. For women, a body fat of 21 to 33% is considered normal, 33 to 39% is considered high, and more than 39% is considered very high.

A. Drink a carbonated beverage before bed B. Increase fatty foods one at a time C. Elevate the head of the bed when sleeping D. Eat dinner late in the evening

Correct Answer is C

Explanation

Choice A reason: This is not a correct instruction because drinking a carbonated beverage before bed can worsen the reflux symptoms by increasing the gastric pressure and the production of gas.

Choice B reason: This is not a correct instruction because increasing fatty foods can worsen the reflux symptoms by delaying the gastric emptying and relaxing the lower esophageal sphincter (LES), which allows the stomach acid to flow back into the esophagus.

Choice C reason: This is a correct instruction because elevating the head of the bed when sleeping can help prevent the reflux symptoms by using gravity to keep the stomach contents from flowing back into the esophagus.

Choice D reason: This is not a correct instruction because eating dinner late in the evening can worsen the reflux symptoms by increasing the amount and acidity of the stomach contents, which can easily flow back into the esophagus when lying down. The client should avoid eating within 3 hours of bedtime.

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A nurse is planning care for a client who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing four female clients for obesity. Which of the following clients have manifestations of obesity?

Correct Answer is A

Explanation

The nurse is providing discharge instructions for a slightly overweight client seen in the Emergency Department with gastroesophageal reflux disease (GERD). Which instruction should the nurse give for management of this disease process?

Correct Answer is C

Explanation

A client reports having heartburn, dysphagia, and frequent dyspepsia. What does the nurse suspect that these clinical manifestations indicate?

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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?