A 44-year-old male client presents to the physician's office for a routine physical. When the patient is talking to the nurse, he asks when he needs to get a colonoscopy. The correct response would be:
“You don't need a colonoscopy unless you have bleeding when you move your bowels.”
“You don't need a colonoscopy unless you have a family history of colon cancer.”
“You need to get a colonoscopy when you are 60 years old.”
“You need to get a colonoscopy when you are 45 years old.”
The Correct Answer is D
A. “You don't need a colonoscopy unless you have bleeding when you move your bowels.”: This delays screening and ignores current guidelines.
B. “You don't need a colonoscopy unless you have a family history of colon cancer.”: Screening is recommended for average-risk individuals regardless of family history.
C. “You need to get a colonoscopy when you are 60 years old.”: This is later than current guidelines recommend.
D. “You need to get a colonoscopy when you are 45 years old.”: As per current USPSTF and American Cancer Society guidelines, colon cancer screening starts at age 45 for average-risk adults.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Storage: The urinary bladder’s primary function is to store urine until it is excreted during urination.
B. Filtration: Filtration occurs in the glomeruli of the kidneys, not in the bladder.
C. Reabsorption: Reabsorption happens in the renal tubules after filtration in the kidneys.
D. Buffering of H+: Buffering of hydrogen ions occurs in the kidneys and blood, not in the bladder.
Correct Answer is B
Explanation
A. Aldosterone: Aldosterone is secreted by the adrenal glands, and it regulates sodium and water balance, not in response to low oxygen.
B. Erythropoietin: The kidneys secrete erythropoietin in response to hypoxia to stimulate the production of red blood cells in the bone marrow.
C. Converting enzyme: Refers to angiotensin-converting enzyme (ACE), which is found in the lungs and converts angiotensin I to II—not secreted by kidneys in response to hypoxia.
D. Renin: Renin is secreted by the kidneys in response to low blood pressure or sodium, not oxygen deficiency.
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