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[Expert Solution]: art 1: A 50-year-old male sees his primary…

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art 1: A 50-year-old male sees his primary care physician for an annual check-up and a colonoscopy. He does not report any significant changes in his health besides aches and pains in his knees and feet. These pains have made it hard for him to get much exercise and stay on his feet for long periods. He has managed the pain with a combination of ibuprofen and naproxen sodium, taking them at least two times per day but sometimes more. He stands at 6’3” weighing 197 lbs. He smokes about a pack of cigarettes every two days and drinks occasionally on the weekends and for special occasions. When asked about his diet, he said that he hasn’t been eating the healthiest. He consumes a lot of beef, chicken, and dairy products with minimal plant foods such as fruits and vegetables. The nurse conducts an assessment and during the colonoscopy, the physician health care provider finds small pouches in the lining of the client’s colon. Question 1 – Alert, oriented, speech clear and appropriate – Height: 6’3” Weight: 197 lbs. – Temperature = 98.7deg F (37deg C) – Heart Rate = 75 beats/min – Respirations = 14 breaths/min – Blood Pressure = 135/88 mm Hg – Oxygen Saturation = 96% (room air) – Absence of abdominal pain – Ibuprofen – Naproxen – Smoking history – Drinking history – Diet Diverticula Highlight or place a check mark next to the assessment findings that require follow-up by the nurse. Question 2 Which risk factor does the client have related to diverticula? Select all that apply. ­­­___ A. Increasing age ___ B. Male gender X C. Overweight X D. Excessive smoking ___ E. Moderate drinking X F. Sedentary behavior X G. Diet high in animal protein X H. Use of ibuprofen and naproxen Part 2 A 50-year-old male client was diagnosed with diverticulosis three months ago. He now checks into the emergency department with symptoms of severe pain around the right side of the abdomen that has persisted for several days. Question 3 Choose the most likely options for the information missing from the statement below by selecting from the lists of options provided. The nurse to believes the client may be experiencing a flare up of diverticulitis as he presented with a fever. Three additional symptoms that could accompany this flare up include ___1___, ___2___, and ___3___. Question 4 Use an X to indicate whether the nursing action listed below are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Non-Essential (make no difference or are not necessary) for the client’s care at this time. Part 3 A 50-year-old male client with a history of diverticulitis has been NPO on bowel rest for seven days. He has tried to ingest small amounts of food and liquid, but the pain and symptoms return immediately. The physician is planning on resection of the diseased colon in the four days. The nurse plans to prepare the client for the procedure and educate him about future management. Question 5 Use an X to indicate whether the nursing actions listed below are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Non-Essential (make no difference or are not necessary) for the client’s care at this time. Question 6 For each client response, use an X to indicate whether the nurse’s teaching was Effective (helped the client understand the procedure), Ineffective (did not help the client understand the procedure), or Unrelated (not related to the health teaching about the procedure).

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