12/15/22, 12:13 PM SESSION 6 - APPENDICITIS AND DIVERTICULAR DISEASE

SESSION 6 - APPENDICITIS AND

DIVERTICULAR  DISEASE
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MULTIPLE CHOICE

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

which include all of the following except:

A. vomiting

B. low-grade fever

C. Thrombocytopenia

D. Abdominal tenderness upon palpation

2. On physical examination, the nurse should be looking for tenderness on *

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

3. Which of the following complications is thought to be the most common cause *

of appendicitis?

A. A fecalith

B. Bowel kinking

C. Internal bowel occlusion

D. Abdominal bowel swelling

4. An enema is prescribed for a client with suspected appendicitis. Which of 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.

5. A client with acute appendicitis develops fever, tachycardia, and 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

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12/15/22, 12:13 PM SESSION 6 - APPENDICITIS AND DIVERTICULAR DISEASE

6. Eleanor, a 62 y.o. woman with diverticulosis is your patient. Which 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

7. 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

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

A. Periodic rectal hemorrhage.

B. Hypertension and tachycardia.

C. Vomiting and elevated temperature.

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

9. Medical management of the client with diverticulitis should include which of *

the following treatments?

A. Reduced fluid intake

B. Increased fiber in diet

C. Administration of antibiotics

D. Exercises to increase intra-abdominal pressure

10. 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.

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