A nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the following recommendations should the nurse include?
Have a fecal occult blood test every 2 years.
Limit intake of dietary fiber.
Reduce intake of red meats.
Have a colonoscopy every 3 years.
The Correct Answer is C
Choice A Reason: Have a fecal occult blood test every 2 years.
The recommendation for fecal occult blood tests (FOBT) is typically to have them annually, not every 2 years. Regular screening is crucial for early detection of colorectal cancer. The American Cancer Society suggests that people aged 45 and older should have an FOBT every year. This test helps detect hidden blood in the stool, which can be an early sign of cancer.
Choice B Reason: Limit intake of dietary fiber.
Dietary fiber is actually beneficial in reducing the risk of colorectal cancer. High-fiber diets, rich in fruits, vegetables, and whole grains, are associated with a lower risk of developing colorectal cancer. Fiber helps in maintaining a healthy digestive system and can aid in the prevention of cancer by promoting regular bowel movements and reducing the time that potential carcinogens stay in the colon.
Choice C Reason: Reduce intake of red meats.
Reducing the intake of red meats is a well-supported recommendation for lowering the risk of colorectal cancer. Studies have shown that high consumption of red and processed meats is linked to an increased risk of colorectal cancer. Reducing the intake of these meats and opting for healthier protein sources like fish, poultry, and plant-based proteins can help lower this risk.
Choice D Reason: Have a colonoscopy every 3 years.
The standard recommendation for colonoscopy screening is every 10 years for individuals at average risk, starting at age 45. More frequent colonoscopies, such as every 3 years, are generally reserved for those with higher risk factors, such as a family history of colorectal cancer or the presence of polyps. Regular colonoscopy screenings are vital for detecting and removing polyps before they can develop into cancer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["400"]
Explanation
Step 1: Calculate the total daily dosage in mg. 80 mg/kg/day × 20 kg = 1600 mg/day
Result at each step = 1600 mg/day
Step 2: Determine the number of doses per day. 24 hours ÷ 6 hours = 4 doses/day
Result at each step = 4 doses/day
Step 3: Calculate the dosage per dose. 1600 mg/day ÷ 4 doses/day = 400 mg/dose
Result at each step = 400 mg/dose
The nurse should administer 400 mg per dose.
Correct Answer is D
Explanation
Choice A Reason
Documenting the indications for using wrist restraints is an important step in the process, but it is not the first action the nurse should take. Documentation ensures that there is a clear rationale for the use of restraints and helps in maintaining legal and ethical standards1. However, before documenting, the nurse must explore and attempt less restrictive alternatives to ensure that restraints are truly necessary.
Choice B Reason
Obtaining a prescription for restraints from the provider is a crucial step, as restraints should only be used with a valid order from a healthcare provider. This ensures that the use of restraints is medically justified and that the provider is aware of the client’s condition. However, before seeking a prescription, the nurse must first attempt less restrictive alternatives to manage the client’s behavior.
Choice C Reason
Explaining the procedure to the client and their family is essential for informed consent and to ensure that they understand the reasons for using restraints. This step helps in maintaining transparency and trust. However, it should be done after the nurse has determined that less restrictive alternatives are not effective and that restraints are necessary.
Choice D Reason
Attempting less restrictive alternatives is the first action the nurse must take. This approach aligns with ethical and legal guidelines that emphasize the use of the least restrictive measures to ensure the client’s safety. Alternatives may include verbal de-escalation, environmental modifications, or the use of less restrictive devices. Only if these measures fail should the nurse consider using restraints.
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