A nurse is reviewing the results of a client's fecal occult blood screening test.Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?
The client takes ibuprofen for headaches.
The client consumed citrus juice 3 days before the test.
The client has a history of breast cancer.
The client had a hemorrhoidectomy 1 year ago.
The Correct Answer is A
Choice A rationale
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and bleeding, potentially leading to a false-positive result in a fecal occult blood test.
Choice B rationale
Citrus juice consumption is not known to interfere with fecal occult blood tests. It does not cause gastrointestinal bleeding or irritation.
Choice C rationale
A history of breast cancer does not affect the accuracy of a fecal occult blood test. It is unrelated to gastrointestinal bleeding or irritation.
Choice D rationale
A hemorrhoidectomy performed a year ago is unlikely to cause a false-positive result in a fecal occult blood test. The procedure would not lead to current gastrointestinal bleeding or irritation.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
Leaving the television on in the client's room can cause confusion and agitation in clients with dementia, leading to an increased risk of falls.
Choice B rationale
Applying a motion sensor mat to the client's bed is an effective way to alert staff if the client attempts to get out of bed, thereby reducing the risk of falls.
Choice C rationale
Raising all four side rails can be considered a form of restraint and can increase the risk of injury if the client attempts to climb over them.
Choice D rationale
Moving the overbed table away from the bed removes a potential source of support for the client when they attempt to get up, increasing the risk of falls. .
Correct Answer is D
Explanation
Choice D rationale
Easily bruised is a common sign of Cushing's syndrome due to increased cortisol levels, which weaken blood vessel walls, leading to capillary fragility and easy bruising.
Choice A rationale
Jaundice is not a typical finding in Cushing's syndrome. It is usually associated with liver conditions where bilirubin levels increase.
Choice B rationale
Muscle rigidity is not a common symptom of Cushing's syndrome. It is more associated with neurological or muscular disorders.
Choice C rationale
Weight loss is contrary to what is seen in Cushing's syndrome, where weight gain, particularly in the abdomen and face (moon face), is more typical.
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