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The home health nurse is caring for a patient who has frequent bouts of diverticulitis accompanied by increased flatulence, diarrhea, and nausea. Which is the most appropriate suggestion to lessen these symptoms?
- A. Eat a diet high in fiber content.
- B. Increase dietary fat intake.
- C. Exercise to increase intraabdominal pressure.
- D. Take daily laxatives.
Correct Answer: A
Rationale: The symptoms of diverticulitis can be reduced or prevented by eating a high-fiber diet, reduction of meat and fats in the diet, and avoiding activities that increase intraabdominal pressure. Although laxatives might be prescribed sparingly, daily laxatives are not recommended.
You may also like to solve these questions
Which is the purpose of antibiotic therapy in treating peptic ulcers?
- A. It eradicates H. pylori.
- B. It inhibits gastric acid secretion.
- C. It protects the gastric mucosa.
- D. It neutralizes or reduces the acidity of stomach contents.
Correct Answer: A
Rationale: Antibiotic therapy eradicates H. pylori.
What is the most lethal complication of a peptic ulcer?
- A. Bleeding
- B. Perforation
- C. Severe pain
- D. Gastric outlet obstruction
Correct Answer: B
Rationale: Perforation is considered the most lethal complication of peptic ulcer. Bleeding may occur when the ulcer erodes into a blood vessel; however, perforation occurs when the ulcer crater penetrates the entire thickness of the wall of the stomach or duodenum. Gastric outlet obstruction can occur at any time and can be relieved by NG aspiration of stomach contents.
In caring for a patient with gastric bleeding who has a nasogastric (NG) tube in place, the nurse expects to see which intervention for the nasogastric tube included in the plan of care?
- A. clamp for 10 minutes every hour.
- B. keep the patent with irrigation.
- C. frequently reposition to the opposite nostril.
- D. change every 72 hours.
Correct Answer: B
Rationale: Irrigating the NG tube as needed will keep the tube patent and ensure effective decompression.
Which will the nurse include when reinforcing the teaching plan for a patient with a hiatal hernia to reduce the frequency of heartburn?
- A. Drinking 10 oz of milk with every meal
- B. Lie down after eating
- C. Panting through mouth when symptoms begin
- D. Eating small meals
Correct Answer: D
Rationale: Taking care not to overeat is the best defense against pyrosis (heartburn) for the person with a hiatal hernia.
A male patient reports that he will never adjust to his colostomy. Which is the best action for the nurse in this situation?
- A. Encourage him to express his concern.
- B. Suggest that he discuss his concerns with his physician.
- C. Counsel him that everything will be all right.
- D. Assure him that his concerns will diminish when he is able to care for his colostomy.
Correct Answer: A
Rationale: When a colostomy is performed, the patient or significant other should be able to verbalize concerns about the ostomy to the nurse.