Medical Surgical Diverticulitis vs Diverticulosis #2

Question

The client has been diagnosed with diverticulosis. The nurse reviews with the client about diet changes and the need to increase fiber in the diet. Which statement indicates that the client understands how to increase fiber in the diet?

Answers

  1. “I can add a glass of milk to my diet, to increase fiber.”
    • Rationale:

      This answer is not correct because milk has no fiber content. Sandwiches with whole grain bread are a great high fiber choice. Knowing and understanding foods high in fiber, such as whole grains, will help you teach your client which foods are best to reduce the risk of diverticulosis.

  2. “I can make my sandwiches using white sandwich bread, to increase fiber in my diet.”
    • Rationale:

      This answer is not correct because white sandwich bread has low fiber and does not indicate a change of increasing fiber. Sandwiches with whole grain bread are a better, high fiber choice. Knowing and understanding foods high in fiber, such as whole grains, will help teach the client which foods are best to reduce the risk of diverticulosis.

  3. “I can add fish to my diet to increase my fiber content.”
    • Rationale:

      This answer is not correct because fish has no fiber content. Sandwiches with whole grain bread are a better, high fiber choice. Knowing and understanding foods high in fiber, such as whole grain, will help teach the client which foods are best to reduce the risk of diverticulosis.

  4. “I can make my sandwiches using whole grain bread, to increase fiber in my diet.”
    • Rationale:

      This answer is correct because whole grain bread is high in fiber. This statement by the client indicates understanding of the dietary need to reduce diverticulosis. Knowing and understanding foods high in fiber, such as whole grains, will help teach the client which foods are best to reduce the risk of diverticulosis.

Overview

Sandwiches with whole grain bread are a great high fiber choice. Increasing fiber in the diet will help soften stools, decrease pressure in the intestines which decreases the risk for diverticulosis. 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 intestine. The pressure creates these small pouches. Chronic constipation increases pressure within the large intestines, increasing the risk of diverticular formation. Knowing and understanding foods high in fiber, such as whole grains, will help teach the client which foods are best to eat to reduce the risk of diverticulosis. The nurse can ensure understanding and the need for further teaching by having the client return demonstrate or responding with meal or snack changes to ensure understanding of material.

Test Taking Tip

When faced with a question that you are unsure of the answer, narrow down the choices by finding the two answers that are similar, yet different.

Video Rationale