The nurse is preparing a care plan for an older African American patient at risk for colon cancer. What should be included in the plan of care?

1. Colonoscopy every 2 years
2. Serum cancer marker testing every year
3. Flexible sigmoidoscopy testing annually
4. Fecal occult blood screening every 2 years


1. Colonoscopy every 2 years

Explanation: 1. Currently, colonoscopy screening is recommended every 2 years for those at high risk.
2. Serum cancer markers are not a recommended screening test.
3. The flexible sigmoidoscopy is recommended every 4 years.
4. Fecal occult blood screening is recommended annually.

Nursing

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A couple seeks genetic counseling as both have a positive family history of sickle cell anemia, and are concerned about the potential of having a child with this disease

Which statement indicates that the couple wishes to participate in primary prevention? 1. "We need to both be treated for sickle cell anemia before we can have a baby." 2. "We will have blood tests to determine if we are carriers." 3. "We need to see a genetics counselor to discuss the potential for having a child with sickle cell disease." 4. "Neither one of us has sickle cell disease, so any baby we have will be safe from the disease as well."

Nursing

A client is concerned because hospitalization will interfere with his ability to participate in the religious rituals that traditionally surround the Christmas season. What nursing diagnosis would the nurse add to this client's care plan?

What will be an ideal response?

Nursing

A patient with metastatic brain cancer says, "I'm dying, but I'm still living. I want to be in control as long as I can." Which reply shows the nurse was actively listening?

a. "Our staff will do their best to help you feel comfortable." b. "Most people do not know how to help and are afraid of death." c. "Your mind and spirit are healthy, although your body is frail." d. "You want people to stop focusing on your weaknesses."

Nursing

A 92-year-old male with congestive heart failure is discharged to home from the hospital. This is his second hospitalization in 6 weeks for the same problem. The client is referred to the home care nurse

in an attempt to minimize future rehospitalizations. When assessing the client's medication regime, the nurse finds out that he is on two oral medications. What else should the nurse assess regarding medications?

Nursing