Assessment findings of a client presenting to the emergency room include cramping pain in the left lower quadrant, weakness, bloating high-pitched bowel sounds, and a low grade fever. Which of the following orders would the nurse anticipate?

High fiber, low protein diet

Prednisone to decrease inflammation

Nasogastric tube to low intermittent suction

Increase with meals and snacks

Answer and Explanation

The Correct Answer is C

A. High fiber, low protein diet: A high-fiber diet is contraindicated during an acute episode of diverticulitis because it can exacerbate inflammation. Instead, a low-residue or clear-liquid diet is recommended.

B. Prednisone to decrease inflammation: While corticosteroids like prednisone are used for inflammatory conditions like IBD, they are not the first-line treatment for diverticulitis. Antibiotics and bowel rest are preferred.

C. Nasogastric tube to low intermittent suction: An NG tube is used to decompress the stomach and relieve bowel obstruction symptoms, such as bloating and cramping. This is appropriate if an obstruction is suspected.

D. Increase with meals and snacks: Increasing food intake is not recommended during an acute episode of diverticulitis. The client is typically placed on bowel rest or a clear liquid diet.

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Correct Answer is A

Explanation

A. Cholelithiasis: Gallstones (cholelithiasis) are a major cause of acute pancreatitis because they can block the pancreatic duct, leading to inflammation and autodigestion of the pancreas.

B. Constipation: Pancreatitis is more commonly associated with diarrhea due to malabsorption, rather than constipation.

C. Splenomegaly: Splenomegaly (enlarged spleen) is associated with portal hypertension from liver disease, not pancreatitis.

D. Ascites: Ascites is seen in advanced liver disease (e.g., cirrhosis) rather than acute pancreatitis, though severe cases of pancreatitis can lead to fluid accumulation in the abdomen.

A. Administer an antipyretic B. Notify the healthcare provider C. Prepare to administer an enema. D. Continue to monitor the client closely

Correct Answer is B

Explanation

peritonitis are present. Treating the underlying cause (perforation) is more urgent than lowering the fever.

B. Notify the healthcare provider: A hard, rigid abdomen with fever indicates possible perforation and peritonitis, which is a medical emergency. The provider must be notified immediately for urgent intervention.

C. Prepare to administer an enema: Enemas are contraindicated in acute diverticulitis due to the risk of perforation.

D. Continue to monitor the client closely: While continued monitoring is always necessary, immediate action (calling the provider) is critical when signs of peritonitis are present.

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Assessment findings of a client presenting to the emergency room include cramping pain in the left lower quadrant, weakness, bloating high-pitched bowel sounds, and a low grade fever. Which of the following orders would the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?

Correct Answer is A

Explanation

The client diagnosed with acute diverticulitis is complaining of severe abdominal pain. On assessment, the nurse finds a hard, rigid abdomen and a temperature of 102 F. Which of the following is the highest priority?

Correct Answer is B

Explanation

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