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. Stomach: The esophagus carries food from the pharynx and empties it into the stomach via the lower esophageal sphincter.
B. Cecum: The cecum is part of the large intestine and is much further along in the digestive tract.
C. Common bile duct: This duct transports bile, not food. It is not directly connected to the esophagus.
D. Duodenum: The duodenum is the first part of the small intestine, which comes after the stomach, not directly after the esophagus.
Correct Answer is B
Explanation
A. pH 5.0: This is within normal range (urine pH typically ranges from 4.5 to 8.0).
B. Large amount of white blood cells (WBC): A high WBC count in urine indicates possible infection or inflammation, such as a urinary tract infection (UTI), and should be reported.
C. Amber color: Normal urine is straw to amber in color, depending on hydration status. This is not abnormal.
D. Occasional casts: Occasional hyaline casts may be seen in healthy individuals, especially after exercise. Persistent or abnormal casts (e.g., RBC casts) would be more concerning.
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