A nurse in a provider’s office is reviewing the health histories of four clients.
For which of the following clients should the nurse anticipate scheduling a colonoscopy?
56-year-old who had a colonoscopy 6 years ago
45-year-old who has Clostridium difficile
32-year-old who has a sister who died of colon cancer
34-year-old who reports a new onset of constipation
The Correct Answer is C
Choice A rationale
A 56-year-old who had a colonoscopy 6 years ago does not necessarily need a colonoscopy unless there are other risk factors present.
Choice B rationale
A 45-year-old who has Clostridium difficile does not necessarily need a colonoscopy unless there are other risk factors present.
Choice C rationale
A 32-year-old who has a sister who died of colon cancer is at a higher risk for developing colon cancer and should therefore be scheduled for a colonoscopy.
Choice D rationale
A 34-year-old who reports a new onset of constipation does not necessarily need a colonoscopy unless there are other risk factors present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hepatitis A is most likely contracted from contaminated food or water. Hepatitis A virus (HAV) is transmitted by the fecal-oral route via contaminated food or infected food handlers. This is different from Hepatitis B, C, and D which are most commonly transmitted via infected blood or body fluids.
Choice B rationale
Hepatitis B is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.
Choice C rationale
Hepatitis C is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.
Choice D rationale
Hepatitis D is not typically contracted from contaminated food. It is most commonly transmitted via infected blood or body fluids.
Correct Answer is C
Explanation
Choice A rationale
A 56-year-old who had a colonoscopy 6 years ago does not necessarily need a colonoscopy unless there are other risk factors present.
Choice B rationale
A 45-year-old who has Clostridium difficile does not necessarily need a colonoscopy unless there are other risk factors present.
Choice C rationale
A 32-year-old who has a sister who died of colon cancer is at a higher risk for developing colon cancer and should therefore be scheduled for a colonoscopy.
Choice D rationale
A 34-year-old who reports a new onset of constipation does not necessarily need a colonoscopy unless there are other risk factors present.
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