1. a nurse in a clinical is caring for a middle age adult who states,
"the doctor says that since I am at an average risk for colon
cancer, I should have a routine screening. whatdoes that
involve?" which of the following responsesshould the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "beginning at age 60, you should have a colonoscopy."
C. "you should have a decal occult blood test every year."
D. "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age
50. Oneoption forscreening is a fecal occult blood test annually.
2. a nurse is caring for a client who is having difficulty breathing. the
client is laying in bed with a nasal cannula delivering oxygen.
which of the followingintervention shouldthe nurse take first?
A. suction the client's airway
B. administer a bronchodilator
C. increase the humidity in the client's room
D. assist the client to an upright position
assist the client to an upright position
When providing client care, the nurse should first use the least
invasive intervention. Therefore, the nurse should elevate the head
of the client's bed tothe semi-Fowler's or highFowler's position to
facilitate maximal chest expansion. Sitting upright improves gas
exchange and prevents pressure on thediaphragm from abdominal
organs.
3. a nurse is preparing to administer 0.5 mL of oral single-dose
liquid medication to aclient. which of the following actions
should the nurse take?
A. gently shake the container of medication prior to administration
B. transfer the medication to a medicine cup
C. place the client in a semi-fowlers position to medication administration
D. verify the dosage by measuring the liquid before administering it
Gently shake the container of medication prior to administration.
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