The nurse performing a fecal occult blood test should take what action?
Report a positive finding to the provider.
Don sterile disposable gloves.
Test the quality control section before testing the stool specimen.
Apply liberal amounts of stool to the guaiac paper.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Get three fecal smears from one bowel movement. FIT only requires one sample per bowel movement, but it is best to test multiple separate bowel movements for accuracy.
B. Collect one fecal smear from three separate bowel movements. FIT testing detects blood proteins using antibodies, and blood presence in stool can be intermittent. Collecting samples from different days increases accuracy.
C. Obtain one fecal smear from an early morning bowel movement. Time of day does not matter, but multiple samples from different bowel movements are preferred.
D. Get three fecal smears when you see blood in your bowel movement. FIT is meant to detect hidden (occult) blood that is not visible.
Correct Answer is B
Explanation
A. Uremia is a buildup of waste products in the blood due to kidney failure, leading to confusion, nausea, and other systemic symptoms rather than acute urinary incontinence.
B. Cystitis (bladder infection) causes inflammation, urgency, frequency, dysuria, and can lead to sudden incontinence in older adults, particularly those with weakened immune systems or cognitive impairment.
C. Diverticulitis is an inflammation of the colon’s diverticula, leading to abdominal pain and bowel disturbances, not urinary incontinence.
D. Nephrosclerosis is a chronic condition involving kidney damage due to hypertension or diabetes, which may lead to kidney failure but does not directly cause acute urinary incontinence.
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