Nokea
The nurse is doing pre-op teaching with the client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements?
- A. I will need to drain the pouch regularly with a catheter.
- B. I will need to wear a drainage bag for the rest of my life.
- C. The drainage from this type of ostomy will be formed.
- D. I will be able to pass stool from my rectum eventually.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following types of diets is implicated in the development of diverticulosis?
- A. Low-fiber diet
- B. High-fiber diet
- C. High-protein diet
- D. Low-carbohydrate diet
Correct Answer: A
Rationale: A low-fiber diet is implicated in the development of diverticulosis because it leads to harder stools and increased pressure in the colon. The lack of fiber results in decreased bulk and slower transit time, predisposing individuals to constipation and the formation of diverticula. High-fiber diets, on the other hand, promote regular bowel movements and help prevent diverticular disease. High-protein and low-carbohydrate diets do not have a direct association with diverticulosis.
Which of the following areas is the most common site of fistulas in clients with Crohn's disease?
- A. Anorectal
- B. Ileum
- C. Rectovaginal
- D. Transverse colon
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following therapies is not included in the medical management of a client with peritonitis?
- A. Broad-spectrum antibiotics
- B. Electrolyte replacement
- C. I.V. fluids
- D. Regular diet
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During the first few days of recovery from ostomy surgery for ulcerative colitis, which of the following aspects should be the first priority of client care?
- A. Body image
- B. Ostomy care
- C. Sexual concerns
- D. Skin care
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following definitions best describes diverticulosis?
- A. An inflamed outpouching of the intestine
- B. A noninflamed outpouching of the intestine
- C. The partial impairment of the forward flow of intestinal contents
- D. An abnormal protrusion of an organ through the structure that usually holds it
Correct Answer: B
Rationale: The correct answer is B: 'A noninflamed outpouching of the intestine.' Diverticulosis refers to the presence of small, bulging pouches (diverticula) that can form in the lining of the digestive system, especially the colon. These pouches are typically noninflamed. Choice A is incorrect because it describes diverticulitis, which is the inflammation of these pouches. Choice C is incorrect as it defines bowel obstruction, not diverticulosis. Choice D is incorrect as it refers to a hernia, not diverticulosis.