Nokea
The nurse is aware that the diagnostic tests typically ordered for acute diverticulitis do not include a barium enema. The reason for this is that a barium enema:
- A. Can perforate an intestinal abscess.
- B. Would greatly increase the client's pain.
- C. Is of minimal diagnostic value in diverticulitis.
- D. Is too lengthy a procedure for the client to tolerate.
Correct Answer: A
Rationale: A barium enema is avoided in acute diverticulitis because it can perforate an intestinal abscess, worsening the condition. It may cause discomfort but is not primarily avoided for pain, diagnostic value, or procedure length. CN: Reduction of risk potential; CL: Apply
You may also like to solve these questions
A client post-hemodialysis reports dizziness. The nurse should:
- A. Check blood pressure.
- B. Administer fluids.
- C. Encourage eating.
- D. Increase dialysis time.
Correct Answer: A
Rationale: Dizziness may indicate hypotension, a common post-dialysis issue.
The nurse is working with a client who has cancer to improve the client's independence in activities of daily living after radiation therapy. Which of the following is an appropriate nursing intervention?
- A. Refer the client to a community support group after discharge from the rehabilitation unit.
- B. Make certain that a family member is present for the rehabilitation sessions.
- C. Provide positive reinforcement for skills achieved.
- D. Inform the client of rehabilitation plans made by the rehabilitation team.
Correct Answer: C
Rationale: Providing positive reinforcement for achieved skills encourages the client's motivation and independence in activities of daily living.
A client who has had a total laryngectomy appears withdrawn and depressed. He keeps the curtain drawn, refuses visitors, and indicates a desire to be left alone. Which nursing intervention would have the threshold to be removed.
- A. Discussing his behavior with his wife to determine the cause.
- B. Exploring his future plans.
- C. Respecting his need for privacy.
- D. Encouraging him to express his feelings nonverbally and in writing.
Correct Answer: D
Rationale: Encouraging nonverbal or written expression allows the client to process emotions despite speech loss, addressing psychological needs. Discussing with his wife breaches confidentiality. Exploring future plans may be premature. Respecting privacy may reinforce withdrawal.
A client with multiple sclerosis (MS) lives with her daughter and 3-year-old granddaughter. The daughter asks the nurse what she can do at home to help her mother. Which of the following measures would be most beneficial?
- A. Psychotherapy.
- B. Regular exercise.
- C. Day care for the granddaughter.
- D. Weekly visits by another person with MS.
Correct Answer: B
Rationale: Regular exercise is most beneficial, as it maintains mobility, strength, and overall health in MS. Psychotherapy, daycare, or peer visits may help but are less directly impactful.
A client with renal calculi has a stent placed. The nurse should teach:
- A. Report blood in urine.
- B. Avoid all activity.
- C. Remove the stent at home.
- D. Expect no discomfort.
Correct Answer: A
Rationale: Blood in urine may indicate stent issues, requiring medical attention.