Medical Surgical Diverticulitis vs Diverticulosis #1

Question

A middle-aged male client with a BMI of 40 reports constipation, pain to the left lower abdomen that comes and goes. The client eats a lot of fast food, is inactive, smokes approximately 1 ½ packs per day, and has hypertension treated with metoprolol. Which are risk factors for diverticulosis? Select all that apply.

Answers

  1. Middle-aged
    • Rationale:

      This answer is correct because being a male, over 40-years of age puts the client at an increased risk for diverticulosis. Other risk factors include being overweight, inactive, constipation, eating fast foods (diets that include low fiber, high fat), and smoking.

  2. Underweight
    • Rationale:

      This answer is not correct because being overweight, not underweight, is a risk factor for diverticulosis. Other risk factors include being over 40-years of age, inactive, constipation, eating fast foods (diets that include low fiber, high fat), and smoking.

  3. Inactivity
    • Rationale:

      This answer is correct because inactivity can cause constipation and decreased peristalsis, which can increase intrabowel pressure and contribute to diverticula formation. Other risk factors include being over 40 years of age, overweight, constipation, eating fast foods (diets that include low fiber, high fat), and smoking.

  4. High-fat diet
    • Rationale:

      This answer is correct because fast foods are generally high in fat, contain red meat, and consist of low fiber, which is a risk factor. Other risk factors of diverticulosis include being male, over 40-years of age, being overweight, inactive, having constipation, eating fast foods (diets that include low fiber, high fat), and smoking.

  5. Use of metoprolol
    • Rationale:

      This answer is not correct because use of metoprolol is not a risk for diverticulosis. Risk factors include being male, over 40-years of age, overweight, decreased activity, constipation, eating fast foods (diets that include low fiber, high fat), and smoking.

  6. Hypertension
    • Rationale:

      This answer is not correct because hypertension is not a risk factor for diverticulosis. Risk factors include being male, over 40-years of age, being overweight, inactive, having constipation, eating fast foods (diets that include low fiber, high fat), and smoking.

Overview

Risk factors of diverticulosis include being over 40-years-old, male, overweight, inactive, eating fast foods (diets that include low fiber and high fat), and smoking. Diverticulosis is when pockets (diverticula) form within the walls of the intestine, mostly in the large intestine.

Explanation

Learning Outcomes

Diverticulosis is when pockets (diverticula) form within the walls of the intestine, mostly in the large intestine. The diverticula occurs due to the inner part of the intestine pushing through weak areas in the lining of the intestines. The pressure creates these small pouches. Risk factors for diverticulosis are men over 40-years of age. Clients who are overweight and those on diets that include low fiber, high fat, and red meat. Other risk factors include smoking, lack of exercise, or taking medications such as NSAIDS, steroids, or opioids. Chronic constipation is a major contributor to diverticula formation.

Test Taking Tip

Knowing the risk factors for diverticulosis will help you eliminate answers.

Video Rationale