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 D

Explanation

A. Reflex incontinence: Reflex incontinence occurs due to involuntary bladder contractions, not retention, and doesn't necessarily indicate the need for catheterization.

B. Nocturnal enuresis: Nighttime incontinence is a symptom but does not indicate immediate need for catheterization unless associated with retention or discomfort.

C. Urge incontinence: This indicates overactivity of the bladder rather than retention; catheterization isn't typically necessary unless retention follows the urge.

D. Suprapubic discomfort: Suprapubic discomfort suggests bladder distention, indicating the need for catheterization to relieve retention and prevent complications like urinary tract infections.

A. "I do my wheelchair exercises sitting in my chair." B. "I carry a water bottle with me because I drink a lot of water." C. "I need to catheterize myself twice a day." D. "I use a suppository every night to have a bowel movement."

Correct Answer is C

Explanation

A. "I do my wheelchair exercises sitting in my chair.": Exercises improve circulation and promote bowel and bladder health.

B. "I carry a water bottle with me because I drink a lot of water.": Staying hydrated is essential for preventing urinary tract infections and promoting bowel health.

C. "I need to catheterize myself twice a day.": This indicates a need for further teaching. Catheterization for clients with neurogenic bladder is usually performed more frequently (every 4–6 hours) to prevent urinary retention, infections, or bladder distension.

D. "I use a suppository every night to have a bowel movement.": Establishing a bowel routine with suppositories is a standard practice for clients with spinal cord injuries.

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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?

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