The nurse performing a fecal occult blood test should take what action?

Report a positive finding to the provider.

Don sterile disposable gloves.

Test the quality control section before testing the stool specimen.

Apply liberal amounts of stool to the guaiac paper.

Answer and Explanation

The Correct Answer is A

A. Report a positive finding to the provider. A positive guaiac test indicates the presence of blood in the stool, which may suggest gastrointestinal bleeding, colorectal cancer, or other GI disorders. It must be reported for further evaluation.

B. Don sterile disposable gloves. Sterile gloves are not required. Clean gloves are sufficient because this is a non-sterile procedure.

C. Test the quality control section before testing the stool specimen. There is no quality control section on a fecal occult blood test. The test involves applying stool to a guaiac card and adding developer.

D. Apply liberal amounts of stool to the guaiac paper. Only a thin smear of stool is required; too much stool may interfere with accurate test results.

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Correct Answer is A

Explanation

A. Grapes and walnut chicken salad sandwich on whole wheat bread. Whole wheat bread and grapes are rich in fiber, which promotes regular bowel movements and prevents constipation.

B. Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing. This meal lacks sufficient fiber. Cheese and eggs can contribute to constipation.

C. Broccoli and cheese soup with potato bread. While broccoli has fiber, the cheese and potato bread are low in fiber and may contribute to constipation.

D. Turkey and mashed potatoes with brown gravy. This meal is low in fiber, and gravy can be high in fat, which may slow digestion.

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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The nurse performing a fecal occult blood test should take what action?

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