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    Nurs 547 Med Surg Proctored Exam(Examplify)
    Select All That Apply

    The nurse is developing a plan of care for a patient with diverticulitis. What interventions is the nurse most likely to include in the plan of care? Directions for drag and drop: Click on your answer choice in the left Possible Answers section and drag and drop into the Selected Answers section.

    Explanation & Rationale

    A. High fiber diet: During an acute diverticulitis flare, a high-fiber diet can increase bowel motility and worsen inflammation or risk perforation. Fiber intake is usually restricted initially and reintroduced gradually after the acute episode resolves. B. Rest: Providing the patient with adequate rest helps reduce metabolic demand and allows the body to focus on healing the inflamed colon. Physical activity may exacerbate pain or discomfort during acute diverticulitis, making rest an important supportive intervention. C. Encourage fluids: Maintaining hydration helps prevent constipation and supports overall gastrointestinal function. Adequate fluid intake also helps maintain hemodynamic stability and can aid in preventing further complications such as bowel obstruction. D. High protein diet: While protein is important for tissue repair, it is not a priority intervention specifically during acute diverticulitis. Nutritional recommendations focus on reducing bowel irritation rather than emphasizing high protein during active inflammation. E. Enemas for bowel elimination: Enemas are contraindicated during acute diverticulitis because they can increase intraluminal pressure, exacerbate inflammation, and raise the risk of perforation. Bowel movements should be managed conservatively until inflammation subsides. F. Pain management: Controlling pain is essential to improve patient comfort, reduce stress, and prevent sympathetic stimulation that can worsen gastrointestinal spasm. Analgesics such as acetaminophen or prescribed opioids are commonly included in the care plan.

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