The nurse is screening clients at a community health fair. Which client is at highest risk for development of colorectal cancer?
a. Young adult who drinks eight cups of coffee every day
b. Middle-aged client with a history of irrit-able bowel syndrome
c. Older client with a BMI of 19.2 who works 65 hours per week
d. Older client who travels extensively and eats fast food frequently
D
Colon cancer is rare before the age of 40, but its incidence increases rapidly with advancing age. Fast food tends to be high in fat and low in fiber, increasing the risk for colon cancer. Irritable bowel syndrome, a heavy workload, and coffee intake do not increase the risk for colon cancer. A BMI of 19.2 is within normal limits.
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The acronym PICO assists in remembering the steps to constructing a good research question. The "O" in the acronym stands for:
a. objectivity. b. ordinal approach. c. outcome. d. observer.
The nurse is caring for a small child who puts his arm through the side rail just as the nurse is lowering the side rail. The child gets a big bruise. The housekeeper asks the nurse what happened. The nurse should:
a. tell the housekeeper, since the housekeeper is part of the health care team b. restrict information to general statements such as, "It was an accident." c. suggest the housekeeper ask the head nurse d. avoid discussing the accident with the housekeeper
The most common chronic condition in older adults is:
a. deafness. b. osteoporosis. c. cardiovascular disease. d. arthritis.
An alert patient becomes sexually aggressive with a confused patient. The confused patient, however, seems to be responsive and is not bothered by the behavior. You should
A. monitor these individuals closely so that sexual abuse does not occur. B. provide privacy so the patients can be intimate if they wish. C. allow the patients to do as they wish, because they are both consenting adults. D. contact family members to see if they object to the behavior.