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. what does that involve?" which of the following
responses should 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. One
option for screening 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
following intervention should the 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
to the semi-Fowler's or high Fowler's position to facilitate maximal chest
expansion. Sitting upright improves gas exchange and prevents pressure on
the diaphragm from abdominal organs.
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