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학습 자료 둘러보기 →The primary goal during conservative management (NPO, IV fluids, antibiotics, bed rest) is to rest the bowel and reduce inflammation. The nurse's priority is to detect failure of this therapy by monitoring for signs of complicated diverticulitis.
Assess for indicators of perforation or abscess: increasing pain, a rigid, board-like abdomen, rebound tenderness, and a rising fever above 100.5°F (38.1°C). A sudden drop in pain can paradoxically signal a perforation.
Do not encourage ambulation or administer fiber/stool softeners during the acute phase; these actions contradict the order for bowel rest and can increase intraluminal pressure, risking perforation.
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