A nurse is teaching a patient about the warning signs of possible colorectal cancer according to the American Cancer Society guidelines. Which statements reflect that the patient understands the teaching? (Select all that apply)

"It is not normal to see food particles in the stool,"

"Some people with colorectal cancer have unexplained abdominal or back pain."

"Blood in the stool is one warning sign I need to look for."

"I need to let my doctor know if my bowel habits start to change."

"Muscle aches are common in people with colorectal cancer."

Answer and Explanation

Correct Answer : B,C,D

A. "It is not normal to see food particles in the stool." Seeing undigested food in the stool is not a common sign of colorectal cancer. It is more commonly associated with conditions like malabsorption syndromes.

B. "Some people with colorectal cancer have unexplained abdominal or back pain." Persistent abdominal pain or discomfort can be a sign of colorectal cancer, especially if unexplained.

C. "Blood in the stool is one warning sign I need to look for." Blood in the stool (hematochezia or melena) is a significant warning sign of colorectal cancer.

D. "I need to let my doctor know if my bowel habits start to change." Changes in bowel habits, such as persistent diarrhea or constipation, can be an early sign of colorectal cancer.

E. "Muscle aches are common in people with colorectal cancer." Muscle aches are not a primary symptom of colorectal cancer.

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Correct Answer is D

Explanation

A. The patient is lonely and calling the nurse under false pretenses. This is an inappropriate assumption. The patient may be experiencing urinary hesitancy due to anxiety, not seeking attention.

B. The patient does not recognize the physiological signals that indicate a need to void. The patient recognized the need to void but is having difficulty due to psychological factors (e.g., anxiety, privacy concerns).

C. The patient is not drinking enough fluids to produce adequate urine output. The patient felt the urge to void, meaning they do have urine in the bladder. The issue is likely related to difficulty initiating urination rather than fluid intake.

D. The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void. Paruresis ("shy bladder syndrome") can make it difficult to void in the presence of others due to anxiety or embarrassment.

A. Measure bladder with had of bed raised to 60 degrees. B. Measure bladder with head of bed raised to 90 degrees. C. Measure bladder within 15 minutes after the patient voids D. Measure bladder before the patient voids.

Correct Answer is C

Explanation

A. Measure bladder with the head of the bed raised to 60 degrees. The patient should be in the supine position for the most accurate measurement.

B. Measure bladder with the head of the bed raised to 90 degrees. The patient should be in a flat or slightly reclined position for bladder scanning.

C. Measure bladder within 15 minutes after the patient voids. Postvoid residual (PVR) is the amount of urine left in the bladder after urination. It should be measured within 15 minutes of voiding for accuracy.

D. Measure bladder before the patient voids. Measuring before voiding does not assess residual urine, which is the purpose of the test.

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A nurse is teaching a patient about the warning signs of possible colorectal cancer according to the American Cancer Society guidelines. Which statements reflect that the patient understands the teaching? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

Correct Answer is D

Explanation

The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the following foods should the nurse allow the client to have?

A nurse is watching a nursing assistive personnel (AP) perform a postvoid bladder scan on a female with a previous hysterectomy. Which action will require the nurse to follow up?

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning?

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?

A nurse is teaching a patient to obtain a specimen for fecal occult blood testing using the fecal immunochemical testing (FIT) at home. How does the nurse instruct the patient to collect the specimen?

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

A patient reports severe flank pain. The urinalysis reveals the presence of calcium phosphate crystals. The nurse will anticipate an order for which diagnostic test?