A nurse is providing teaching to a client who has diverticulosis about identifying manifestations of diverticulitis. Which of the following client statements indicates an understanding of the teaching?
"I will have upper abdominal pain."
"My abdomen will become distended."
"My stools will be clay-colored."
"I will experience gastric reflux."
The Correct Answer is B
Choice A rationale:
Upper abdominal pain is not a typical manifestation of diverticulitis. It is more commonly associated with conditions affecting the upper gastrointestinal tract.
Choice B rationale:
Rationale: Diverticulitis is characterized by inflammation or infection of diverticula (small pouches) in the colon. Manifestations of diverticulitis can include abdominal pain (usually left lower quadrant), fever, nausea, vomiting, and changes in bowel habits.
Abdominal distension may indicate worsening inflammation or complication of diverticulitis.
Choice C rationale: Clay-colored stools are more characteristic of liver or bile duct disorders, not diverticulitis.
Choice D rationale: Gastric reflux is not a common manifestation of diverticulitis. It is more related to gastroesophageal reflux disease (GERD) or other upper gastrointestinal issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A blood pressure of 78/60 mm Hg is indicative of hypotension which is a common complication of anorexia nervosa. However. the low body temperature takes precedence
Choice B rationale:
Weight loss of 20% over the last 6 months is concerning but may not be an immediate indicator for acute care admission.
Choice C rationale:
An apical pulse rate of 50/min is bradycardia, which can be a result of anorexia nervosa, but it may not be an immediate indicator for acute care admission unless the client is symptomatic.
Choice D rationale:
A body temperature of 35.5°C (95.9°F) is below a normal range signfyng hypothermia which needs immedate intervention.
Correct Answer is B
Explanation
Choice A rationale:
A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.
Choice B rationale:
Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.
Choice C rationale:
Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.
Choice D rationale:
Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.
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