A nurse in a provider’s office performs a fecal occult blood test with a positive result on a client.
Which of the following clients may have a false positive result?

A. A client who has a venous stasis ulcer.

A client who has peripheral hematomas.

A client who underwent a barium swallow study.

A client who takes an iron supplement.

Answer and Explanation

The Correct Answer is D

Correct answer: C

A. A client who has a venous stasis ulcer: This is less likely to cause a false positive result. While ulcers can bleed, the fecal occult blood test is designed to detect small amounts of blood in the stool, not necessarily blood from other sources like venous stasis ulcers.

B. A client who has peripheral hematomas: Peripheral hematomas are typically not related to the fecal occult blood test. They generally wouldn’t affect the results unless there was significant bleeding or if the hematomas were a result of an underlying bleeding disorder.

C. A client who underwent a barium swallow study: This is the most likely to cause a false positive result. Barium used in the study can sometimes appear as a false positive on the test due to its interference with the chemical reactions used to detect blood.

D. A client who takes an iron supplement: Iron supplements can actually cause a false negative result rather than a false positive because they may darken the stool and mask the presence of blood.

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Correct Answer is C

Explanation

The correct answer is choice C. The client who says “I need to learn how to perform a dressing change on my leg” is indicating an acceptance of the limb loss and a readiness to learn self-care skills.

This is a positive sign of coping and adaptation after an amputation surgery.

Choice A is wrong because the client who says “I am going to have to find someone who can take care of my leg at home” is expressing dependency and denial of the limb loss.

The client needs to be encouraged to participate in self-care activities and rehabilitation.

Choice B is wrong because the client who says “I stay awake at night because I keep thinking about my leg” is experiencing phantom limb sensation, which is a common phenomenon after amputation.

The client may benefit from pain management, distraction techniques, and counseling.

Choice D is wrong because the client who says “I know my family means well, but I don’t want visitors seeing my leg right now” is showing signs of social isolation and low self-esteem.

The client needs emotional support and reassurance from the nurse and family members.

Normal ranges for vital signs after amputation are blood pressure 120/80 mm Hg, pulse 60-100 beats/min, respiratory rate 12-20 breaths/min, and temperature 36.5-37.5°C.

A. Interlock her fingers and hold her hands away from her body above her waist. B. Clasp her hands together in a relaxed position behind her body at her waist. C. Place one hand over the other against the part of the gown covering her upper body. D. Keep her arms at the sides of her body with her hands in a relaxed position.

Correct Answer is A

Explanation

The correct answer is choice A. Interlock her fingers and hold her hands away from her body above her waist.

This is because this position minimizes the risk of contaminating the sterile gloves by touching any non-sterile surfaces or objects.

The nurse should also keep her hands above her waistline to prevent contamination

Choice B is wrong because clasping the hands together behind the body at the waist could contaminate the gloves by touching the non-sterile gown or the skin

Choice C is wrong because placing one hand over the other against the part of the gown covering the upper body could contaminate the gloves by touching the non-sterile gown or the skin

Choice D is wrong because keeping the arms at the sides of the body with the hands in a relaxed position could contaminate the gloves by touching any nonsterile surfaces or objects

Sterile gloves are a type of disposable rubber gloves that are put through specific procedures to eliminate germs and microorganisms.

They are used to prevent and minimize infection during surgeries or invasive procedures

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A nurse in a provider’s office performs a fecal occult blood test with a positive result on a client. Which of the following clients may have a false positive result?

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Explanation

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Correct Answer is A

Explanation

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A nurse in a provider’s office performs a fecal occult blood test with a positive result on a client.
Which of the following clients may have a false positive result?