A nurse is teaching a patient about the warning signs of possible colorectal cancer according to the American Cancer Society guidelines. Which statements reflect that the patient understands the teaching? (Select all that apply)
"It is not normal to see food particles in the stool,"
"Some people with colorectal cancer have unexplained abdominal or back pain."
"Blood in the stool is one warning sign I need to look for."
"I need to let my doctor know if my bowel habits start to change."
"Muscle aches are common in people with colorectal cancer."
Correct Answer : B,C,D
A. "It is not normal to see food particles in the stool." Seeing undigested food in the stool is not a common sign of colorectal cancer. It is more commonly associated with conditions like malabsorption syndromes.
B. "Some people with colorectal cancer have unexplained abdominal or back pain." Persistent abdominal pain or discomfort can be a sign of colorectal cancer, especially if unexplained.
C. "Blood in the stool is one warning sign I need to look for." Blood in the stool (hematochezia or melena) is a significant warning sign of colorectal cancer.
D. "I need to let my doctor know if my bowel habits start to change." Changes in bowel habits, such as persistent diarrhea or constipation, can be an early sign of colorectal cancer.
E. "Muscle aches are common in people with colorectal cancer." Muscle aches are not a primary symptom of colorectal cancer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sigmoid. The sigmoid colon is the last part of the intestine, where stool is more solid and formed.
B. Transverse. Stool in a transverse colostomy is semi-formed or pasty.
C. Ascending. An ascending colostomy produces very liquid stool because it is located near the beginning of the large intestine, where water absorption is minimal.
D. Descending. Stool in a descending colostomy is more solid and formed compared to the ascending and transverse colostomies.
Correct Answer is A
Explanation
A. Report a positive finding to the provider. A positive guaiac test indicates the presence of blood in the stool, which may suggest gastrointestinal bleeding, colorectal cancer, or other GI disorders. It must be reported for further evaluation.
B. Don sterile disposable gloves. Sterile gloves are not required. Clean gloves are sufficient because this is a non-sterile procedure.
C. Test the quality control section before testing the stool specimen. There is no quality control section on a fecal occult blood test. The test involves applying stool to a guaiac card and adding developer.
D. Apply liberal amounts of stool to the guaiac paper. Only a thin smear of stool is required; too much stool may interfere with accurate test results.
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