A nurse is reviewing the results of a client's fecal occult blood screening test. Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?
The client has a history of breast cancer.
The client takes ibuprofen for headaches.
The client consumed citrus juice 3 days before the test.
The client had a hemorrhoidectomy 1 year ago.
The client had a hemorrhoidectomy 1 year ago.
The Correct Answer is B
The client takes ibuprofen for headaches. NSAIDs such as ibuprofen can cause gastrointestinal bleeding, which can result in a false positive result on a fecal occult blood test.
Option A is incorrect because breast cancer is not associated with false-positive fecal occult blood results.
Option C is incorrect because citrus juice does not affect the fecal occult blood test.
Option D is incorrect because a hemorrhoidectomy is not associated with false-positive fecal occult blood results.
Reasons why the other options are not answered:
Option A: Breast cancer is not associated with false-positive fecal occult blood results.
Option C: Citrus juice does not affect the fecal occult blood test.
Option D: A hemorrhoidectomy is not associated with false-positive fecal occult blood results.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Allow frequent rest periods.
Choice A rationale:
Encouraging fluids is not appropriate for a client with heart failure. Clients with heart failure often experience fluid overload due to the heart’s inability to pump effectively, leading to fluid retention.Encouraging additional fluid intake can exacerbate this condition, worsening symptoms such as edema and shortness of breath.
Choice B rationale:
Measuring vital signs every 8 hours may not be frequent enough for a client with heart failure, especially if they are experiencing acute symptoms.More frequent monitoring is often necessary to detect changes in the client’s condition promptly and to manage symptoms effectively.
Choice C rationale:
Obtaining weight weekly is not sufficient for a client with heart failure. Daily weight monitoring is crucial as it helps in detecting fluid retention early.Sudden weight gain can indicate worsening heart failure and the need for adjustments in treatment.
Choice D rationale:
Allowing frequent rest periods is essential for clients with heart failure. These clients often experience fatigue and decreased exercise tolerance due to reduced cardiac output.Frequent rest periods help in managing fatigue and preventing overexertion, which can worsen heart failure symptoms.
Correct Answer is A
Explanation
Estrogen is important for maintaining bone health, and a decrease in estrogen levels after menopause is a risk factor for osteoporosis. Using estrogen vaginal cream can indicate that the client is postmenopausal and may have a decreased level of estrogen, which puts her at risk for osteoporosis. Canned sardines are a good source of calcium, walking is good for overall health, and a beclomethasone inhaler is used for respiratory issues and does not affect bone health.
B: Canned sardines are actually a good source of calcium, which is important for bone health.
C: Walking is actually beneficial for bone health, as it is a weight-bearing exercise.
D: Beclomethasone inhalers are used for respiratory issues and do not affect bone health.
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