Medical Surgical Diverticulitis vs Diverticulosis #4

Question

The client has been newly diagnosed with diverticulitis and is ready to be discharged. Gathering the client’s discharge papers, the nurse should review what the client can do to reduce a recurrence. Which education will you review with the client? Select all that apply.

Answers

  1. Increasing fiber in the diet.
    • Rationale:

      This answer is correct because high fiber diets soften stools allowing easier elimination of stools. Foods high in fiber can help soften stools for easier elimination, causing less pressure on diverticula.

  2. Exercise for at least 90 minutes per week.
    • Rationale:

      This answer is correct because increasing exercise helps propel waste through the gastrointestinal system. It helps increase peristalsis, thus easier bowel elimination.

  3. Increase daily intake of fatty red meat
    • Rationale:

      This answer is not correct because red meat can increase your risk of developing another recurrence of diverticulitis. A diet high in fiber, increased fluids, and low fat is recommended for a client with diverticular disease.

  4. Take an OTC stool softener to prevent constipation
    • Rationale:

      This answer is correct because stool softeners help soften stool allowing easier evacuation from the intestines. Softer stools decreases pressure placed on the intestines and reduces the risk of more diverticula.

  5. Increase daily fluid intake to at least 2 Liters.
    • Rationale:

      This answer is correct because increasing the fluid intake prevents constipation, and keeps the digestive tract working properly. Easing the evacuation of stool helps prevent pressure on the intestine that causes the risk of additional diverticula pockets.

Overview

Increasing fiber in the client’s diet, exercising at least 90 minutes per week, taking an OTC stool softener, and increasing fluid intake will assist in preventing recurrence of diverticulitis by softening stools, increasing gastric peristalsis, and alleviating constipation.

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. Understanding the cause, and knowing how to prevent future “flare ups” can prevent further inflammatory issues. Increasing fiber in the diet, exercising at least 90 minutes per week, taking an OTC stool softener, and increasing fluid intake will assist in preventing recurrence of diverticulitis by softening stools, increasing gastric peristalsis, and alleviating constipation.

Test Taking Tip

Read through every question and answer. If you find an answer you know is not correct cover it up and then review the rest.

Video Rationale