An elderly patient is admitted with an acute onset of diverticulitis, and intravenous antibiotic therapy is started. What should the nurse do next?

Elevate the head of the bed.

Initiate a bowel prep protocol for surgery.

Educate the patient on increasing dietary fiber.

Maintain the patient’s NPO status.

Answer and Explanation

The Correct Answer is D

Diverticulitis is an inflammation or infection of the pouches formed in the colon. During an acute onset of diverticulitis, it’s important to rest the bowel to allow for healing. Therefore, maintaining the patient’s NPO (nothing by mouth) status would be the appropriate next step.

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Correct Answer is C

Explanation

Choice A rationale
Exclusively consuming lactose-free dairy products is not a specific characteristic of the DASH diet. While the DASH diet recommends low-fat or fat-free dairy products, it does not specifically require them to be lactose-free.
Choice B rationale
Meticulously cleaning and peeling all fresh fruits and vegetables is a good practice for food safety, but it is not specific to the DASH diet.
Choice C rationale
Enjoying fat-free yogurt as an occasional snack aligns with the DASH diet’s emphasis on low-fat dairy products.
Choice D rationale
Eliminating grains from the diet is not recommended in the DASH diet. On the contrary, the DASH diet encourages the consumption of whole grains.

A. Apply lotion to the entire foot to prevent skin cracks. B. Use salt, herbs, and spices to enhance the flavor of foods. C. Include no more than 1-2 alcoholic beverages in the diet per day. D. Obtain an A1C blood test every year to monitor glucose control.

Correct Answer is B

Explanation

Choice A rationale
While it’s important to keep the feet moisturized to prevent skin cracks, this statement does not indicate that the client understands how to prevent complications related to diabetes mellitus.
Choice B rationale
Using salt, herbs, and spices to enhance the flavor of foods can be a part of a healthy diet, which is crucial in managing diabetes. This statement indicates that the client understands the importance of dietary management in preventing complications related to diabetes mellitus.
Choice C rationale
While moderate alcohol consumption may be acceptable for some people with diabetes, it’s not a key factor in preventing complications related to diabetes mellitus.
Choice D rationale
While regular monitoring of blood glucose control through tests like the A1C is important, this statement alone does not indicate that the client understands how to prevent complications related to diabetes mellitus.

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An elderly patient is admitted with an acute onset of diverticulitis, and intravenous antibiotic therapy is started. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient’s understanding of the DASH (Dietary Approaches to Stop Hypertension) diet. Which patient behavior suggests adherence to this diet?

Correct Answer is C

Explanation

The nurse is educating a client, who was admitted with a blood glucose level of 580 mg/dL, on how to prevent complications related to diabetes mellitus. Which statement made by the client indicates they have understood the information?

Correct Answer is B

Explanation

The parent of an adolescent tells the clinic nurse, “My child has athlete’s foot. I have been applying triple antibiotic ointment for two days, but there has been no improvement.”. Which instruction should the nurse provide?

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The nurse is providing discharge teaching to an older adult patient hospitalized for treatment of venous leg ulcers. Which instructions should the nurse include in the teaching plan? (Select all that apply.)

A patient has arrived at the emergency department reporting intermittent fever and night sweats for the past three weeks and has developed a cough that is productive with small amounts of blood. What should be the nurse’s priority intervention?

A client with a history of hypothyroidism was initially admitted with lethargy and confusion. Which additional finding should the nurse act upon immediately?

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