The client was recently admitted to the hospital with left lower quadrant pain. The client states, "It feels like my belly is cramping." During the focused interview, the client admitted to experiencing a significant amount of occupational stress
Guarding is noted during the abdominal examination. The nurse reviews the medical record (see chart below) and concludes that the client has developed a diverticulitis. Which client statement supports this conclusion by the nurse?
Assessment or diagnostic test Results
White blood cell count 25,000/mm3
Red blood cell count 4.2 x 1012/L
Temperature 101.2 degrees Fahrenheit
Blood pressure 152/84
1. "I get home so late at night, but I've got to stop lying down right after dinner."
2. "I drink a whole pot of coffee every day."
3. "I drink 9-12 beers after I get home from work, every day."
4. "We have been growing green beans in our garden and I think I ate too many the other day."
Correct Answer: 4
This client most likely is experiencing diverticulitis. The client's white blood cell count, temperature, and blood pressure are elevated as a result of the infection. High-fiber food intake can be a precipitating factor. Lying down after meals is often associated with gastroesophageal reflux disorder. Caffeine intake is associated with irritable bowel syndrome. Drinking alcohol is associated with irritable bowel syndrome and pancreatitis.
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