Which patient is most at risk for increased peristalsis

A 5-year-old child who ignores the urge to defecate owing to embarrassment

A 40-year-old female with major depressive disorder

An 80-year-old male in an assisted-living environment.

A 21-year-old female with three final examinations on the same day

Answer and Explanation

The Correct Answer is D

A. A 5-year-old child who ignores the urge to defecate owing to embarrassment. Ignoring the urge to defecate slows peristalsis, leading to constipation.

B. A 40-year-old female with major depressive disorder. Depression is more likely to cause decreased peristalsis and constipation.

C. An 80-year-old male in an assisted-living environment. Aging typically slows peristalsis, leading to constipation.

D. A 21-year-old female with three final examinations on the same day. Stress and anxiety stimulate the sympathetic nervous system, increasing peristalsis and leading to diarrhea.

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Correct Answer is A

Explanation

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.

A. Urinary tract infection B. Urinary retention C. Urinary incontinence D. Urinary frequency

Correct Answer is A

Explanation

A. Urinary tract infection: Cloudy, foul-smelling urine and dark amber color are classic signs of UTI due to the presence of bacteria, white blood cells, and inflammatory byproducts.

B. Urinary retention: Urinary retention involves difficulty emptying the bladder but does not typically cause cloudy or foul-smelling urine unless complicated by a UTI.

C. Urinary incontinence: Urinary incontinence refers to involuntary loss of urine but does not specifically cause changes in urine appearance.

D. Urinary frequency: Frequent urination may be a symptom of a UTI, but frequency alone does not cause urine to be dark, cloudy, or foul-smelling.

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Which patient is most at risk for increased peristalsis

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?

Correct Answer is A

Explanation

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