APPENDICITIS, DIVERTICULAR

DISEASES
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Which of the following complications is thought to be the most common * 1 point

cause of appendicitis?

a. A fecalith

b. Bowel kinking

c. Internal bowel occlusion

d. Abdominal bowel swelling

Which of the following types of diets is implicated in the development of * 1 point

diverticulosis?

a. Low-fiber diet

b. High-fiber diet

c. High-protein diet

d. Low-carbohydrate diet
A client with acute appendicitis develops fever, tachycardia, and * 1 point

hypotension. Based on these assessment findings, the nurse suspects

which of the following complications?

a. Peritonitis

b. Bowel ischemia

c. Intestinal obstruction

d. Deficient fluid volume

Donald is a 61 y.o. man with diverticulitis. Diverticulitis is characterized by: * 1 point

a. Periodic rectal hemorrhage.

b. Hypertension and tachycardia.

c. Vomiting and elevated temperature.

d. Crampy and lower left quadrant pain and low-grade fever

An enema is prescribed for a client with suspected appendicitis. Which of * 1 point

the following actions should the nurse take?

a. Prepare 750 ml of irrigating solution warmed to 100*F.

b. Question the physician about the order.

c. Provide privacy and explain the procedure to the client.

d. Assist the client to left lateral Sim’s position.

Medical management of the client with diverticulitis should include which * 1 point

of the following treatments?

a. Reduced fluid intake

b. Increased fiber in diet

c. Administration of antibiotics

d. Exercises to increase intra-abdominal pressure

Which of the following mechanisms can facilitate the development of * 1 point

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

During assessment, the nurse is looking for positive indicators of * 1 point

appendicitis, which include all of the following except:

a. Vomiting

b. Low-grade fever

c. Thrombocytopenia

d. Abdominal tenderness upon palpation

 On physical examination, the nurse should be looking for tenderness on * 1 point
palpation at Mcburney’s point, which is located in the:

a. Right lower quadrant

b. Right upper quadrant

c. Left lower quadrant

d. Left upper quadrant

Eleanor, a 62 y.o. woman with diverticulosis is your patient. Which * 1 point

interventions would you expect to include in her care?

a. Low-fiber diet and fluid restrictions.

b. Total parenteral nutrition and bed rest.

c. High-fiber diet and administration of psyllium.

d. Administration of analgesics and antacids.

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