A nurse is reviewing the laboratory reports of four clients.
Which of the following clients should the nurse expect to have a positive fecal occult blood test?
A client who has ulcerative colitis.
A client who has cholecystitis.
A client who uses laxatives.
A client who has stomatitis.
The Correct Answer is A
Choice A rationale
Ulcerative colitis often results in inflammation and ulcers in the colon lining, which can lead to bleeding and a positive fecal occult blood test. This is a common complication of the condition.
Choice B rationale
Cholecystitis, an inflammation of the gallbladder, does not typically cause gastrointestinal bleeding or a positive fecal occult blood test. It is more associated with abdominal pain and digestive issues.
Choice C rationale
The use of laxatives generally does not cause internal bleeding that would result in a positive fecal occult blood test. Laxatives are more likely to cause changes in bowel habits and diarrhea.
Choice D rationale
Stomatitis, inflammation of the mouth, is unlikely to cause a positive fecal occult blood test. It primarily affects the oral cavity and is not associated with gastrointestinal bleeding. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The sides of the sling are not designed for the client to hold on to, as this could compromise safety. Clients should keep their hands away to prevent injury and ensure stability during the transfer.
Choice B rationale
Mechanical lifts are designed to assist clients who cannot help themselves due to limited mobility or strength. This device ensures safe transfer without requiring the client's physical assistance, reducing the risk of injury to both the client and the caregiver.
Choice C rationale
Positioning the sling's lower end below the client's calves is incorrect. The correct positioning is beneath the client's thighs and around the upper body to provide adequate support during the lift. Incorrect placement can lead to discomfort or injury.
Choice D rationale
Mechanical lifts do not require the client to use upper body strength. These devices are specifically intended to aid clients with minimal or no ability to support themselves, thereby minimizing physical exertion from the client.
Correct Answer is D
Explanation
Choice A rationale
Applying cornstarch powder to the perineal area can lead to clumping and skin irritation, especially in a moist environment. It is not recommended for managing fecal incontinence.
Choice B rationale
Turning the client every 4 hours is important for preventing pressure ulcers but does not directly address fecal incontinence. Frequent turning should be combined with other measures for skin protection.
Choice C rationale
Cleansing the perineal area with povidone-iodine solution can be harsh and drying to the skin. It is not typically recommended for routine care of fecal incontinence.
Choice D rationale
Placing a moisture barrier ointment over the perineal area protects the skin from irritation and breakdown caused by fecal matter. It creates a protective layer, which is essential in managing fecal incontinence.
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