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 C

Explanation

A. Administering the flu vaccine immediately may not be safe due to Paul's recent immunoglobulin therapy and underlying health conditions.

B. While controlling diabetes is important for overall health, it may not directly impact the decision to postpone the flu vaccine.
C. Postponing the flu vaccine for another 2 weeks allows time for the effects of immunoglobulin therapy to diminish and reduces the risk of potential adverse interactions.
D. Consulting the physician for an alternative to flu vaccination may be necessary if Paul cannot receive the vaccine due to contraindications or allergies, but postponing is the initial appropriate action.

A. Injecting immunoglobulin B. Administering a Hepatitis A vaccine C. Providing antiviral medication D. Initiating an antioxidant-rich diet

Correct Answer is A

Explanation

A. Immunoglobulin containing antibodies against Hepatitis A can provide immediate, short-term protection when administered after exposure to the virus.
B. While vaccination is the primary method for long-term protection against Hepatitis A, it does not provide immediate protection.
C. Antiviral medication is not typically used for post-exposure prophylaxis against Hepatitis A.
D. Diet does not provide immediate protection against Hepatitis A.

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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

Marie, a 30-year-old nurse at a flu immunization clinic, encounters Paul, a 45-year-old patient with diabetes and hypertension, who also received immunoglobulin therapy two weeks prior. Which is the most appropriate action for Marie to take?

Correct Answer is C

Explanation

Nurse Annie is in charge of a vaccination campaign. She encounters a patient who was exposed to Hepatitis A and has never been vaccinated for it. What course of action will provide immediate, short-term protection for the patient?

Correct Answer is A

Explanation

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