Amy, a 50-year-old woman, reports a recent change in her bowel habits and rectal bleeding. She has no family history of rectal or colon problems. What is the most appropriate next step for her healthcare provider?
Perform a rectal examination
Refer her to a colonoscopy immediately
Recommend increasing fiber in her diet
Prescribe anti-hemorrhoidal medication
The Correct Answer is B
A. A rectal examination may not detect lesions higher up in the colon
B. Rectal bleeding and change in bowel habits are red flags for colorectal cancer, especially in people over 50 years old. A colonoscopy is the gold standard for diagnosing colorectal cancer and other conditions affecting the colon and rectum.
C. While increasing fiber may be beneficial for overall bowel health, it is not the immediate action to take when rectal bleeding and changes in bowel habits are reported.
D. Prescribing medication without a proper evaluation could mask underlying issues and is not the appropriate initial step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. The nurse should advise Tina to discontinue the herbal remedies because they may interfere with her medications or worsen her symptoms.
B. The nurse should also assess her lung sounds to monitor her respiratory status.
C. Providing education on flu vaccines is crucial to prevent further infections.
D. Adequate fluid intake is generally recommended, but it may not be the most immediate concern in this case.
E. The nurse should check for any interactions between the herbal remedies and any bronchodilators that Tina is using, as they may reduce their effectiveness or cause adverse effects.
Correct Answer is A, B ,C ,D
No explanation
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