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

Answer and Explanation

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.

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Correct Answer is A , B, C, B ,

No explanation

A. Cough assist machine B. Orthopedic shoes C. A manually operated wheelchair D. High-frequency chest wall oscillation device

Correct Answer is A

Explanation

A. A cough assist machine can help Alice clear secretions from her airways, reducing the risk of respiratory complications associated with spinal muscular atrophy.

B. Orthopedic shoes may help with support and stability but do not directly address Alice's respiratory needs.
C. While a wheelchair may be necessary for mobility, it does not address Alice's respiratory needs.
D. High-frequency chest wall oscillation devices are used to help clear mucus from the airways but may not be as appropriate for Alice's age and condition as a cough assist machine.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nurse Helen is trying to identify the most likely cause of her patients' symptoms. Match each patient's symptoms to the most probable condition.

Correct Answer is A , B, C, B ,

Alice, 4, shows delays in reaching milestones like sitting and walking. Chetic testing confirms the SMN1 gene deletion characteristic of Spinal Muscular Atrophy. A pulmonary function test shows reduced FVC. Which piece of equipment would most benefit Alice at this stage?

Correct Answer is A

Explanation

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