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A nurse is teaching a client about managing diverticulosis. Which of the following statements should the nurse make?

"Limit fiber intake to 20 grams each day."

"Decrease cellulose-containing foods in the diet."

"Take stimulating laxatives as needed."

"Limit daily fat intake to 30% or less."

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Increasing fiber intake is a key recommendation for managing diverticulosis.

Choice B rationale:

Cellulose-containing foods, such as whole grains and vegetables, are important sources of dietary fiber and are encouraged for managing diverticulosis.

Choice C rationale:

Stimulating laxatives are not recommended for managing diverticulosis and could potentially exacerbate symptoms.

Choice D rationale:

Limiting fat intake to 30% or less is a dietary recommendation for managing diverticulosis. A high-fiber diet is also important to prevent diverticular inflammation.

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Correct Answer is C

Explanation

Choice A rationale:

Increased serum amylase is a common finding in acute pancreatitis, and its decrease would be a positive sign. However, lipase is a more specific marker for pancreatic injury.

Choice B rationale:

Increased C-reactive protein is a marker of inflammation and would not necessarily indicate improvement in pancreatitis.

Choice C rationale:

Decreased serum lipase indicates improvement in the pancreatic injury and is a positive sign.

Choice D rationale:

Decreased platelets would not specifically indicate improvement in acute pancreatitis.

A. Sodium 140 mEq/L B. Platelet count 350,000/mm3 C. Protein 2 g/dL D. Cholesterol 170 mg/dL

Correct Answer is C

Explanation

Choice A rationale:

The sodium level of 140 mEq/L is within the normal range for children, which is 135 to 145 mEq/L. Sodium levels may be low in nephrotic syndrome due to fluid retention and dilutional hyponatremia, but this is not the case for this child.

Choice B rationale:

The platelet count of 350,000/mm3 is within the normal range for children, which is 150,000 to 450,000/mm3. Platelet levels may be elevated in nephrotic syndrome due to increased production by the bone marrow in response to inflammation and infection, but this is not the case for this child.

Choice C rationale:

The nurse should report the protein level of 2 g/dL to the provider, as this is abnormally low and indicates severe proteinuria. Proteinuria is a hallmark of nephrotic syndrome, as the glomeruli become damaged and allow protein to leak into the urine. Normal protein levels for children are 6 to 8 g/dL. Low protein levels can lead to edema, hypoalbuminemia, and hyperlipidemia.

Choice D rationale:

The cholesterol level of 170 mg/dL is within the normal range for children, which is less than 200 mg/dL. Cholesterol levels may be high in nephrotic syndrome due to increased synthesis by the liver as a compensatory mechanism for low protein levels, but this is not the case for this child.

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A nurse is teaching a client about managing diverticulosis. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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