A new 19-year-old male patient has familial adenomatous polyposis (FAP). Which action will the nurse in the gastrointestinal clinic include in the plan of care?
a. Obtain blood samples for DNA analysis.
b. Schedule the patient for yearly colonoscopy.
c. Provide preoperative teaching about total colectomy.
d. Discuss lifestyle modifications to decrease cancer risk.
b. Schedule the patient for yearly colonoscopy.
Patients with FAP should have annual colonoscopy starting at age 16 and usually have total colectomy by age 25 to avoid developing colorectal cancer. DNA analysis is used to make the diagnosis, but is not needed now for this patient. Lifestyle modifications will not decrease cancer risk for this patient.
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a. Directing patients to make health-promoting decisions b. Helping clients discover what they need to heal and ways to meet those needs c. Incorporating complementary modalities into medical management of client illnesses d. Prioritizing client needs and facilitating treatment options
A nurse working in obstetrics helps new mothers bond with their children. Which observation might make the nurse concerned? Select all that apply
A. Mother appeared frightened of her newborn and avoided touching him. B. Mother continually praised her newborn and his nursing and sleeping. C. Mother constantly looked at and talked to her newborn. D. Mother kept touching her newborn, patting, hugging, and smiling at him. E. Mother said "Boys are tough" as she rather carelessly changed his diaper. F. Mother verbalized that the newborn did not seem to like her and left her infant alone.
Identify a true statement about megaloblastic anemia.
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The nurse suspects that a client is experiencing stress. Which observation indicates that the client's manifestations fit Hans Selye's definition of this disorder? Select all that apply
1. Weight gain 2. Loss of appetite 3. Inability to sleep 4. Planning a vacation 5. Increased blood glucose level