A nurse is reinforcing teaching to a patient about how to perform fecal occult blood testing for colorectal cancer screening.

Which statement by the patient indicates a need for further teaching?

“I will refrain from eating raw fruits and vegetables.”.

“I will avoid taking iron supplements before testing.”.

“I will avoid steak and other red meats.”.

“I will continue my low-dose aspirin therapy regimen.”. .

Answer and Explanation

The Correct Answer is D

Choice A rationale
It is recommended to refrain from eating raw fruits and vegetables before a fecal occult blood test, as they can cause a false-positive result.
Choice B rationale
Avoiding iron supplements before testing is also recommended, as they can interfere with the test results.
Choice C rationale
It is advised to avoid red meats before the test, as they can cause a false-positive result.
Choice D rationale
Continuing a low-dose aspirin therapy regimen may cause a false-positive result on a fecal occult blood test. Aspirin can cause gastrointestinal bleeding, which could be detected by the test. Bile ductBile duct Explore

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Correct Answer is C

Explanation

Choice A rationale
Weighing the patient weekly may not be sufficient in the case of cirrhosis with ascites. Fluid accumulation can occur rapidly, and more frequent weight checks may be necessary.
Choice B rationale
Positioning the patient flat in bed is not typically recommended for patients with ascites, as this can increase pressure on the diaphragm and make breathing more difficult.
Choice C rationale
Measuring the patient’s abdominal girth every 8 hours is a common nursing intervention for patients with ascites. It allows for monitoring of fluid accumulation in the abdomen.
Choice D rationale
While managing discomfort is important, acetaminophen should be used cautiously in patients with liver disease, as the liver is involved in drug metabolism.

A. “Can you share how you think having the ileostomy will affect you?” B. “Everyone worries about how they will manage their ileostomy at first.”. C. “This will cure your disease so you don’t spend so much time in the hospital.”. D. “Let’s discuss some strategies to help you adapt to life with an ileostomy.”. .

Correct Answer is A

Explanation

Choice A rationale

Asking the patient to share their concerns allows the nurse to understand the patient’s perspective and provide individualized care. It opens up a dialogue where the patient can express their fears and the nurse can provide reassurance and information.
Choice B rationale
While it’s true that many people worry about managing an ileostomy at first, this response does not address the patient’s specific concerns. It’s important to understand the patient’s individual fears and worries.

Choice C rationale
This response may be misleading. While an ileostomy can help manage the symptoms of ulcerative colitis, it does not cure the disease. It’s important to provide accurate information to the patient.

Choice D rationale
Discussing strategies to adapt to life with an ileostomy can be helpful, but it’s important to first understand the patient’s specific concerns. This response assumes what the patient needs without asking them.

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A nurse is reinforcing teaching to a patient about how to perform fecal occult blood testing for colorectal cancer screening. Which statement by the patient indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a patient who has cirrhosis of the liver with ascites. What action should the nurse take?

Correct Answer is C

Explanation

A nurse is providing care for a young adult patient who has ulcerative colitis and is scheduled for an ileostomy surgery. After a discussion with the healthcare provider, the patient expresses concern, “How will I ever be able to have a normal life after this?” How should the nurse respond?

Correct Answer is A

Explanation

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A nurse is reinforcing teaching to a patient about how to perform fecal occult blood testing for colorectal cancer screening.

Which statement by the patient indicates a need for further teaching?