The nurse is participating in a community health fair program on risk factors for cancer. Which of the following would be included as increasing the risk for colon cancer? (Select all that apply.)
a. Low-fiber diet
b. History of ulcerative colitis
c. Low-sodium diet
d. Family history of breast cancer
e. Low-fat diet
f. History of rectal polyps
ANS: A, B, F
A major causative agent of colon cancer is lack of fiber in the diet, which prolongs fecal transit time and in turn prolongs exposure to possible carcinogens. Additional risk factors include a family history of colon cancer, ulcerative colitis, or polyps of the rectum or large intestine.
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A client who is a Jehovah's Witness is scheduled to undergo a total hip replacement. Which of the following could affect this client's recovery?
a. Because she does not eat meat, it will be difficult for her to get enough protein for healing. b. If a blood transfusion is needed, she will probably refuse it because her religious group is opposed to blood transfusions. c. She must receive Holy Communion before surgery, which may delay the surgery. d. Any removed body parts or tissue must be buried.
The client has developed memory problems, difficulty hearing, and tremors. The nurse knows that the following food may have contributed to these symptoms?
1. Raw vegetables 2. Unpasteurized milk 3. Improperly cooked poultry 4. Fish
The nurse administers psyllium (Metamucil) to a patient who has requested a laxative. The nurse should monitor the patient for ____________ and provide ______________ to minimize the effects and risks
a. nausea and vomiting; an antiemetic b. abdominal cramps; a K-pad (warming pad) c. esophageal obstruction; 8 ounces of water d. watery stools; 30 mL of water
Mr. Broski is terminally ill. He has many religious objects in his room for comfort at this time. What should the nursing assistant do about them?
A. Explain that the objects are taking up too much room, and send them to the patient's home. B. Place most of them in the closet or on the floor, to keep the bedside clear. C. Remove all but one or two and keep those close to the patient. D. Treat each object with respect and keep them near the patient.