A nurse is reinforcing teaching with a newly licensed nurse about obtaining a fecal occult blood test from a client. Which of the following information should the nurse include?

Use toilet paper to transfer the stool specimen.

Collect two stool specimens from the same area of the stool.

Apply four drops of developing solution to each stool specimen.

Wait 30 seconds after applying the developing solution to obtain the results.

Answer and Explanation

The Correct Answer is D

A. Use toilet paper to transfer the stool specimen: Incorrect. Toilet paper is not sterile and can contaminate the sample. Use a clean applicator or stick.

B. Collect two stool specimens from the same area of the stool: Incorrect. Collect specimens from two different areas to increase accuracy.

C. Apply four drops of developing solution to each stool specimen: Incorrect. The number of drops may vary depending on the test kit instructions.

D. Wait 30 seconds after applying the developing solution to obtain the results: This allows the solution to react with any blood present in the stool, providing accurate results.

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Correct Answer is B

Explanation

A. Respiratory rate 28/min: A high respiratory rate suggests ongoing respiratory distress and that the intervention has not yet been effective.

B. Pink mucous membranes: Pink mucous membranes indicate adequate oxygenation and improved perfusion, showing that supplemental oxygen is effective.

C. Restlessness: Restlessness is a sign of hypoxia and indicates the oxygen therapy is not sufficient.

D. Heart rate 110/min: Tachycardia often occurs with hypoxia and does not indicate effective oxygen therapy.

A. Overflow incontinence B. Stress incontinence C. Urge incontinence D. Reflex incontinence

Correct Answer is B

Explanation

A. Overflow incontinence: This occurs when the bladder is overfilled, causing involuntary dribbling, often due to bladder outlet obstruction or detrusor muscle underactivity.

B. Stress incontinence: Stress incontinence occurs when increased intra-abdominal pressure (e.g., sneezing, coughing, laughing) causes leakage of urine due to weakened pelvic floor muscles.

C. Urge incontinence: Urge incontinence is characterized by a sudden, intense urge to urinate due to bladder muscle overactivity, unrelated to sneezing or coughing.

D. Reflex incontinence: Reflex incontinence occurs due to neurologic impairment, leading to involuntary loss of urine without awareness of the need to void.

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A nurse is reinforcing teaching with a newly licensed nurse about obtaining a fecal occult blood test from a client. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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