The client is being discharged after being seen in the urgent care center for a possible first experience with diverticulitis. The client asks the nurse what can be done to prevent further development of diverticular disease. The nurse's most important intervention to teach this client would be to:

avoid eating nuts and foods with seeds.

increase fiber in the diet.

try different methods for stress relief.

walk more to strengthen abdominal muscles.

Answer and Explanation

The Correct Answer is B

B. Increase fiber in the diet: This is the correct option. Increasing dietary fiber intake is one of the most important interventions to prevent diverticular disease and reduce the risk of diverticulitis. Adequate fiber intake promotes regular bowel movements and prevents constipation, which can help reduce pressure in the colon and minimize the formation of diverticula.
A. Nuts and seeds are excellent sources of dietary fiber, which may actually help prevent diverticular disease. Therefore, while avoiding nuts and seeds may be advised during an acute diverticulitis flare-up to reduce irritation to the colon, it is not the most important long-term preventive intervention.
C. While stress management techniques may contribute to overall health and well-being, they are not the most important intervention specifically for preventing diverticular disease.
D. While physical activity and exercise are important for overall health and may help improve bowel function, there is limited evidence to suggest that strengthening abdominal muscles alone can prevent diverticular disease.

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Correct Answer is C

Explanation

C. Protein is essential for tissue repair and maintenance, especially after surgery. Adequate protein intake can also help preserve muscle mass and promote satiety, which can be beneficial for weight management. However, it's important to choose lean protein sources and monitor portion sizes to avoid overconsumption.
A. After gastric banding (Lap-band) surgery, it is generally recommended to avoid high-fat foods. High-fat foods can contribute to weight gain and may increase the risk of complications such as dumping syndrome, which occurs when food moves too quickly from the stomach to the small intestine.
B. Adequate fiber intake is important for promoting bowel regularity and preventing constipation, which can be a concern after gastric banding surgery. However, it's essential to choose low-calorie, high-fiber foods to avoid overeating and to support weight loss goals.
D. After gastric banding surgery, it's generally recommended to avoid drinking fluids with meals. Consuming fluids during meals can cause the stomach pouch to fill too quickly, leading to discomfort and potentially stretching the pouch over time. It's typically advised to wait at least 30 minutes to 1 hour after meals before drinking fluids.

A. Increased passage of gas and stool B. Enlarging abdominal girth C. Hyperactive bowel sounds D. Afebrile

Correct Answer is B

Explanation

B. Toxic megacolon is characterized by severe colonic dilation, leading to a significant increase in abdominal girth. As the colon becomes distended, it can cause visible abdominal swelling and bloating, which may be accompanied by tenderness upon palpation.
A. In the context of toxic megacolon, there may be a reduction or cessation of bowel movements due to colonic dilation and paralysis.
C. In toxic megacolon, bowel sounds may initially be hyperactive due to increased peristalsis as the colon attempts to overcome the obstruction. However, as the condition progresses, bowel sounds may diminish or become absent due to colonic dilation and paralysis.
D. While fever can be present in toxic megacolon due to the underlying inflammatory process, it is not universally seen in all cases.

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The client is being discharged after being seen in the urgent care center for a possible first experience with diverticulitis. The client asks the nurse what can be done to prevent further development of diverticular disease. The nurse's most important intervention to teach this client would be to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client about dietary management post gastric banding (Lap-band) surgery. Which information does the nurse plan to Include?

Correct Answer is C

Explanation

The nurse suspects that the client, hospitalized with severe ulcerative colitis, is experiencing the complication of toxic megacolon. Which assessment finding would support this suspicion?

Correct Answer is B

Explanation

The nurse determines that instruction regarding prevention of future urinary tract Infections for a female client who has cystitis has not been effective when the client states, "I:

A client comes to the Urgent Care center complaining of urinary frequency accompanied by pain when voiding. Which clinical manifestation would make the nurse suspect acute pyelonephritis rather than cystitis?

Which of the following is a common symptom of ulcerative colitis?

The nurse is evaluating the histories of several candidates for bariatric surgery. Who is the best candidate for the surgery?

A client receives 20 units of NPH Insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

The nurse is caring for a client recently diagnosed with a gastric ulcer. The primary care provider has prescribed pantoprazole. Which statement made by the client reflects a good understanding of this medication?

The nurse assesses a client admitted four hours ago with a diagnosis of diverticulitis. Which clinical manifestation must be reported immediately to the physician?