A nurse is planning care for a client who requires screening for rectal cancer. Which of the following tests should the nurse anticipate in the client's plan of care?
Upper GI series
Colonoscopy
Endoscopic retrograde cholangiopancreatography (ERCP)
Upper GI endoscopy
The Correct Answer is B
Choice A reason: An upper GI series is a series of X-rays used to examine the esophagus, stomach, and small intestine, not the rectum or colon.
Choice B reason: A colonoscopy is the most appropriate test for screening for rectal cancer as it allows for the
examination of the entire colon and rectum and can also facilitate the removal of polyps.
Choice C reason: ERCP is primarily used to diagnose and treat conditions in the liver, gallbladder, bile ducts, and pancreas, not the rectum.
Choice D reason: An upper GI endoscopy, or esophagogastroduodenoscopy (EGD), is used to examine the lining of the upper part of the gastrointestinal tract, which includes the esophagus, stomach, and duodenum, not the rectum.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Nausea is not a common symptom directly associated with obstructive sleep apnea (OSA).
Choice B reason: Hypotension is not typically a finding in OSA. In fact, OSA can be associated with hypertension due to the effects of recurrent oxygen desaturations and sympathetic nervous system activation.
Choice C reason: Constipation is not a symptom commonly linked to OSA. OSA primarily affects respiratory function
during sleep.
Choice D reason: Morning headaches are a common symptom in individuals with OSA due to disrupted sleep patterns and decreased oxygen levels during apneic episodes.
Correct Answer is A
Explanation
Choice A reason: With aging, there is a slight slowing in the movement of contents through the large intestine and a modest decrease in the contractions of the rectum when filled with stool, leading to decreased intestinal peristalsis.
Choice B reason: Aging does not typically result in a decreased pH of the stomach. Instead, conditions that decrease acid secretion, such as atrophic gastritis, become more common with age.
Choice C reason: Increased muscle tone of the bowel is not a change associated with aging. In fact, muscle tone may decrease, contributing to issues such as constipation.
Choice D reason: Increased gastric acid production is not a typical physiological change with aging. The secretion of stomach juices such as acid and pepsin has little effect on aging, although conditions that decrease acid secretion become more common.
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