A nurse is caring for a client who reports abdominal pain. The nurse is caring for a client who has abdominal pain. Which of the following actions should the nurse take? Select all that apply.

Rationale: A. Position client in high-Fowler's position: While a semi-Fowler's position may be comfortable, high-Fowler's (90°) increases intra-abdominal pressure, which can worsen the pain of diverticulitis. A side-lying position with knees flexed is often preferred to reduce abdominal tension. B. Ensure client is NPO: Clients with suspected acute diverticulitis are kept NPO to rest the bowel and prevent further irritation or perforation. This measure prepares the client for possible surgical intervention and prevents complications such as aspiration if vomiting occurs. C. Prepare to insert a nasogastric tube: In cases of severe nausea, vomiting, or bowel obstruction, a nasogastric tube may be indicated to decompress the stomach and relieve distention. Preparing for potential NG tube insertion is appropriate given the client’s persistent vomiting and abdominal distention. D. Provide the client with foods that are high in fiber: High-fiber foods are recommended for long-term management of diverticular disease, but they are contraindicated during acute diverticulitis. Fiber can exacerbate inflammation or worsen pain in the acute phase. E. Administer a laxative to prevent constipation: Laxatives are contraindicated during acute diverticulitis because they can increase bowel motility, worsen inflammation, and potentially lead to perforation. F. Administer an enema to promote bowel evacuation: Enemas should be avoided in acute diverticulitis due to the risk of increasing intraluminal pressure and causing perforation. G. Ensure the client is on bed rest: Bed rest helps reduce metabolic demand and allows the client to conserve energy during acute illness. Limiting activity also reduces the risk of increased abdominal pressure and exacerbation of pain.