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 B

Explanation

A. Testicular torsion typically presents with sudden and severe scrotal pain, often with swelling, and requires immediate medical attention.
B. Infection can cause changes in the color and texture of the scrotal skin, indicating inflammation or other pathological processes.
C. Sexual immaturity and pubertal delay wouldn't typically manifest as changes in the color and texture of the scrotal skin.
D. Pubertal delay might have other signs and symptoms but is unlikely to cause visible changes in the scrotal skin.

A. Increasing sun exposure by 10 minutes each day will minimize risk. B. Water-resistant sunscreens are all you need while swimming. C. Use a sunscreen with SPF of at least 10 D. Avoid direct sun exposure between 10 AM and 2 PM.

Correct Answer is D

Explanation

A. Increasing sun exposure would actually increase the risk of sun damage and skin cancer rather than minimizing it.
B. While water-resistant sunscreens are important for protection during swimming, they are not the only measure needed to reduce sun damage, especially during extended sun exposure periods.
C. A sunscreen with SPF of at least 10 may not provide sufficient protection, especially for someone spending extended periods of time in direct sunlight. Higher SPF is generally recommended.
D. Avoiding direct sun exposure between 10 AM and 2 PM is crucial because during these hours, the sun's rays are the strongest, increasing the risk of sunburn and skin

damage. Opting for shade or protective clothing during these hours can significantly reduce the risk of sun damage.

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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

James, a 20-year-old college student, comes to the clinic for a physical exam. During the examination of his male genitalia, the healthcare provider noted that the color and texture of the scrotal skin appeared different from the expected norm. What could this potentially indicate?

Correct Answer is B

Explanation

Martha, a 55-year-old with a past medical history of hypertension, asks you about decreasing her risk for sun damage during her frequent beach trips. Which advice is most accurate?

Correct Answer is D

Explanation

Olivia, a 27-year-old patient, needs to undergo tests for suspected allergies. What methods are typically employed to identify allergens in Olivia's case? (Select all that apply.)

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