A nurse is reinforcing teaching with a client who is to take a fecal occult blood test at home. Which of the following instructions should the nurse include in the teaching?

Apply five drops of developer to each smear.

Use the same part of stool for each sample.

Ensure the sample contains no urine.

Wait 10 min before applying the developing solution.

Answer and Explanation

The Correct Answer is C

A. Apply five drops of developer to each smear: Typically, two drops of developer are applied per sample, not five. Applying excess developer may dilute the reaction and yield unreliable results.
B. Use the same part of stool for each sample: Samples should be taken from different parts of the stool to ensure accuracy and detect localized bleeding.
C. Ensure the sample contains no urine: Urine contamination can interfere with test results, leading to inaccurate findings. The client should collect a clean stool sample.
D. Wait 10 min before applying the developing solution: The developing solution should be applied immediately after placing the stool sample on the test card to prevent errors in interpretation.

Nursing Test Bank

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Correct Answer is D

Explanation

A. "I will lie down for 30 minutes after each meal.": Lying down after meals increases reflux risk; clients should remain upright for 2–3 hours after eating.
B. "I will increase vitamin C intake by drinking orange juice.": Citrus juices are acidic and can aggravate GERD symptoms.
C. "I will sleep flat on my back at night.": Sleeping flat increases reflux; elevating the head of the bed is recommended.
D. "I will eat six small meals each day.": Smaller, more frequent meals reduce gastric distension and lower the risk of reflux.

A. Dyspnea B. Increased pain at incision site C. Tingling sensation to right foot D. Swelling at incision site

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A,B"}}

Explanation

Findings	Acute compartment syndrome	Infection	Fat embolism syndrome
Dyspnea			✔
Increased pain at incision site	✔	✔
Tingling sensation to right foot	✔
Swelling at incision site	✔	✔

Dyspnea is a hallmark of fat embolism syndrome due to impaired oxygen exchange.

Increased pain at the incision site can signal both acute compartment syndrome (due to increased pressure) and infection (due to local inflammation).

Tingling sensation to the right foot is a sign of nerve compression related to compartment syndrome.

Swelling at the incision site is consistent with both compartment syndrome (due to tissue pressure) and infection (due to inflammation).

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A nurse is reinforcing teaching with a client who is to take a fecal occult blood test at home. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has gastroesophageal reflux (GERD). Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A,B"}}

Explanation

A nurse is reinforcing teaching about ostomy care with a client who has a new colostomy. Which of the following findings should the nurse instruct the client to report to the provider?

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