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A nurse is planning a community education program about colorectal cancer. Which of the following risk factors should the nurse identify as modifiable? (Select all that apply.)

Smoking

Alcohol consumption

Inflammatory bowel disease

High-fat diet

Colorectal polyps

Answer and Explanation

Correct Answer : A,B,D

A. Smoking – Smoking increases the risk of colorectal cancer and can be changed.

B. Alcohol consumption – Alcohol use increases cancer risk and is modifiable.

C. Inflammatory bowel disease – This is a non-modifiable risk factor.

D. High-fat diet – Dietary habits can be changed to lower the risk.

E. Colorectal polyps – Polyps are a non-modifiable risk factor.

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Correct Answer is ["A","B","E"]

Explanation

A. Turn on the bed alarm. A bed alarm alerts staff when the client attempts to get up, helping prevent falls.

B. Maintain the bed in the lowest position. Keeping the bed low reduces the risk of injury in case the client attempts to get up unassisted.

C. Place the client in a vest restraint. Restraints should be used only as a last resort after less restrictive measures fail. They can cause distress and increase agitation in clients with dementia.

D. Administer a sedative. Sedatives can increase confusion, risk of falls, and respiratory depression, making them an inappropriate first-line intervention.

E. Encourage the family to stay with the client. Having familiar caregivers present can provide reassurance and reduce agitation, making it a beneficial intervention.

A. Remove a piece of the new dressing that falls 5 cm (2 in) from the edge of the sterile field during the dressing change. B. Begin the dressing change by applying sterile gloves and removing the existing dressing. C. Restart the procedure if the sterile solution splashes onto the sterile field when pouring the solution into the dressing tray. D. Place the existing dressing on the outermost portion of the sterile field and discard it when the dressing change is finished.

Correct Answer is C

Explanation

A. Remove a piece of the new dressing that falls 5 cm (2 in) from the edge of the sterile field during the dressing change. Incorrect, as the item is contaminated and should not be used.

B. Begin the dressing change by applying sterile gloves and removing the existing dressing. The old dressing should be removed with clean gloves before donning sterile gloves.

C. Restart the procedure if the sterile solution splashes onto the sterile field when pouring the solution into the dressing tray. Any contamination of the sterile field requires a complete restart to maintain sterility.

D. Place the existing dressing on the outermost portion of the sterile field and discard it when the dressing change is finished. Contaminates the sterile field; old dressings should be disposed of immediately.

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A nurse is planning a community education program about colorectal cancer. Which of the following risk factors should the nurse identify as modifiable? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dementia and frequently tries to get out of bed. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. Which of the following actions should the nurse take to prevent contamination during the dressing change?

Correct Answer is C

Explanation

A nurse is documenting client care. Which of the following entries should the nurse identify as an example of implementation of client care?

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A nurse is preparing a client for transfer to another unit. Which of the following findings should the nurse include in the transfer report? (Select all that apply.)

A nurse is caring for a client in the emergency department. Exhibits Complete the following sentence by using the list of options. When obtaining a capillary blood sample for glucose testing, the nurse should dropdown, and then dropdown

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A nurse is performing a focused assessment for a client who has a dysrhythmia. Which of the following findings indicates ineffective cardiac contractions?

A nurse is assessing a client who is receiving oxygen therapy. Which of the following findings should the nurse identify as a late manifestation of hypoxia?

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