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. Urine contains glucose: Glucose is not normally present in urine. Its presence typically indicates hyperglycemia, such as in uncontrolled diabetes mellitus.
B. Urine may contain drugs: Many drugs and their metabolites are excreted in the urine, which is why urine drug testing is possible.
C. Urine contains water: Water is the main component of urine, making up about 95% of its volume.
D. Urine contains uric acid: Uric acid is a normal waste product of purine metabolism, excreted by the kidneys.
Correct Answer is C
Explanation
A. Large intestine, excretion: The large intestine mainly absorbs water and forms feces; it does not have villi.
B. Pancreas, release of hormones: The pancreas releases insulin and glucagon but has no villi and is not directly involved in nutrient absorption.
C. Small intestine, absorption: Villi are fingerlike projections that line the small intestine to increase surface area for absorption of nutrients.
D. Gallbladder, production of bile: The liver produces bile; the gallbladder only stores it. Villi are not involved.
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