A nurse is reinforcing teaching with a group of adult clients about health promotion and maintenance. The nurse should remind the clients that which of the following screenings should be performed beginning at age 50?

Testicular examination

Colonoscopy

Clinical breast examination

Fasting blood glucose

Answer and Explanation

The Correct Answer is B

A. Testicular examination: Testicular cancer screening is typically encouraged from adolescence to around age 35, as it is more common in younger men. Routine testicular exams are not specifically recommended starting at age 50.

B. Colonoscopy: Colorectal cancer screening, such as colonoscopy, should begin at age 45 or 50 for individuals at average risk. It is a key preventive measure for detecting colorectal cancer in its early stages.

C. Clinical breast examination: Clinical breast exams may be done earlier, typically starting in the 20s or 30s, depending on risk factors. They are not newly initiated at age 50.

D. Fasting blood glucose: Screening for diabetes may begin as early as age 35 in adults with risk factors. It is important but not specifically recommended as a new screening starting at age 50.

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Correct Answer is A

Explanation

A. Chlorine bleach: Chlorine bleach is the recommended disinfectant for cleaning surfaces contaminated with Clostridium difficile spores. It is effective in killing these hardy spores that are resistant to many other disinfectants.

B. Chlorhexidine: Chlorhexidine is an antiseptic commonly used for skin cleansing, not for disinfecting environmental surfaces contaminated with C. difficile. It is ineffective against spores.

C. Triclosan: Triclosan is an antimicrobial found in some personal care products, but it is not suitable or approved for disinfecting surfaces in healthcare settings, especially against C. difficile.

D. Isopropyl alcohol: Alcohol-based disinfectants are ineffective against C. difficile spores. They do not have sporicidal activity and are not recommended for cleaning in cases of C. difficile infection.

A. A B. B C. C D. D

Correct Answer is D

Explanation

A. Close-up of eyes with yellow sclera: Could indicate jaundice or liver dysfunction, which is not an expected part of aging and requires further evaluation.

B. Older adult man with a rounded back and head tilted forward: Suggests kyphosis, which can occur with aging but is usually linked to osteoporosis or vertebral fractures, not considered an inevitable, expected change.

C. Close-up of nose with a reddish-purple spot (possible bruise): Might result from trauma, coagulopathy, or medication side effects like anticoagulants, not a routine age-related change.

D. Hands with prominent veins, thin skin, and wrinkles: Thinning skin due to decreased subcutaneous fat. Wrinkles from reduced skin elasticity. Prominent veins due to loss of skin turgor and connective tissue. These are all normal physical findings in older adults.

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A nurse is reinforcing teaching with a group of adult clients about health promotion and maintenance. The nurse should remind the clients that which of the following screenings should be performed beginning at age 50?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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