Family Nurse Practitioner Exam

What dietary advice should be given to a patient with mild acute diverticulitis?

1. High-fiber diet immediately

2. Clear liquid diet supplementing with fiber

3. No dietary changes needed

4. Low-carb diet to prevent flare-ups

The correct answer is: Clear liquid diet supplementing with fiber

In the case of mild acute diverticulitis, the recommended approach includes starting with a clear liquid diet. This helps to minimize bowel irritation while allowing the digestive system to rest and recover. The clear liquids can include broth, clear juices, and gelatin, providing necessary hydration without putting stress on the intestines. Once symptoms improve, patients can gradually introduce a low-fiber diet, eventually transitioning to a high-fiber diet as their condition stabilizes and improves. Fiber is crucial in diverticulitis management for the long-term, as it helps to maintain bowel regularity and prevent future flare-ups; however, it's essential that fiber intake is not initiated immediately during an acute episode, as this could exacerbate symptoms. Thus, recommending a clear liquid diet with a gradual introduction of fiber products is an appropriate strategy for managing mild acute diverticulitis, facilitating recovery while preventing complications.