Nokea
Which of the following conditions is most likely to directly cause peritonitis?
- A. Cholelithiasis
- B. Gastritis
- C. Perforated ulcer
- D. Incarcerated hernia
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following mechanisms can facilitate the development of diverticulosis into diverticulitis?
- A. Treating constipation with chronic laxative use, leading to dependence on laxatives
- B. Chronic constipation causing an obstruction, reducing forward flow of intestinal contents
- C. Herniation of the intestinal mucosa, rupturing the wall of the intestine
- D. Undigested food blocking the diverticulum, predisposing the area to bacterial invasion
Correct Answer: D
Rationale: The correct answer is D. Undigested food blocking the diverticulum can lead to bacterial invasion, causing inflammation and turning diverticulosis into diverticulitis. Choices A, B, and C do not directly facilitate the development of diverticulitis. Choice A involves a different mechanism related to laxative use, choice B describes a complication of chronic constipation but does not necessarily lead to diverticulitis, and choice C refers to a different condition involving herniation of the intestinal mucosa.
Care for the postoperative client after gastric resection should focus on which of the following problems?
- A. Body image
- B. Nutritional needs
- C. Skin care
- D. Spiritual needs
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After a right hemicolectomy for treatment of colon cancer, a 57-year old client is reluctant to turn while on bed rest. Which action by the nurse would be appropriate?
- A. Asking a co-worker to help turn the client
- B. Explaining to the client why turning is important.
- C. Allowing the client to turn when he's ready to do so
- D. Telling the client that the physician's order states he must turn every 2 hours
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client who has undergone creation of a colostomy has a nursing diagnosis of Disturbed body image. The nurse would evaluate that the client is making the most significant progress toward identified goals if the client:
- A. Watches the nurse empty the colostomy bag
- B. Looks at the ostomy site
- C. Reads the ostomy product literature
- D. Practices cutting the ostomy appliance
Correct Answer: D
Rationale: The correct answer is D: Practices cutting the ostomy appliance. This choice indicates that the client is actively involved in self-care and adapting to the colostomy. By practicing cutting the ostomy appliance, the client is demonstrating independence and self-management skills, showing significant progress towards overcoming the disturbed body image. Choices A, B, and C do not involve active participation in self-care tasks related to the colostomy, which are essential for the client's adaptation and acceptance.
Which of the following tests should be administered to a client suspected of having diverticulosis?
- A. Abdominal ultrasound
- B. Barium enema
- C. Barium swallow
- D. Gastroscopy
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.