A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:
a. use a topical, over the counter hemorrhoid treatment for 1 week.
b. exercise and eat more fiber.
c. come to the laboratory for a stool guaiac test.
d. eat six small meals a day.
C
Blood in the stool is an abnormal finding that should never be ignored, even if it can be ex-plained by conditions other than colon cancer. She should have her stool checked for blood now as well as annually because she is older than 50 years.
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A patient has been scheduled for a bone marrow biopsy and admits to the nurse that she is worried about the pain involved with the procedure. What patient education is most accurate?
A) "You'll be given painkillers before the test, so there won't likely be any pain?" B) "You'll feel some pain when the needle enters your skin, but none when the needle enters the bone because of the absence of nerves in bone." C) "Most people feel some brief, sharp pain when the needle enters the bone." D) "I'll be there with you, and I'll try to help you keep your mind off the pain."
A client had a kidney transplant and is doing well, except for being concerned that the spouse does not seem happy about it. The assessment by the nurse that would yield the most helpful in-formation is to ask the
a. client what hobbies and activities they enjoy together. b. client why he/she thinks the spouse is acting that way. c. spouse how he/she feels about the client's progress. d. spouse what his/her role was while the client was ill.
The labor and delivery nurse is assigned to four clients in early labor. Which of the following electronic fetal monitoring findings would require immediate intervention?
A. Early decelerations with each contraction B. Variable decelerations that recover to the baseline C. Late decelerations with minimal variability D. Accelerations
A client is diagnosed with narcolepsy. Which of the following is a characteristic of this disorder?
A) Waking during sleep B) Restless leg syndrome C) Uncontrollable desire to sleep D) Decrease in the amount or quality of sleep