An emergency room nurse assesses a client after a motor vehicle crash and notes ecchymotic areas across the client's lower abdomen. Which action should the nurse take first?
a. Measure the client's abdominal girth.
b. Assess for abdominal guarding or rigidity.
c. Check the client's hemoglobin and hematocrit.
d. Obtain the client's complete health history.
Question 2A nurse cares for a client with colon cancer who has a new colostomy. The client states, I think it would be helpful to talk with someone who has had a similar experience. How should the nurse respond?
a. I have a good friend with a colostomy who would be willing to talk with you.
b. The enterostomal therapist will be able to answer all of your questions.
c. I will make a referral to the United Ostomy Associations of America.
d. You'll find that most people with colostomies don't want to talk about them.
Question 3A nurse cares for a client newly diagnosed with colon cancer who has become withdrawn from family members. Which action should the nurse take?
a. Contact the provider and recommend a psychiatric consult for the client.
b. Encourage the client to verbalize feelings about the diagnosis.
c. Provide education about new treatment options with successful outcomes.
d. Ask family and friends to visit the client and provide emotional support.
Question 4A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, My doctor told me that the fecal occult blood test was negative for colon cancer. I don't think I need the colonoscopy and would like to cancel it.
How should the nurse respond?
a.
Your doctor should not have given you that information prior to the colonoscopy.
b.
The colonoscopy is required due to the high percentage of false negatives with the blood test.
c.
A negative fecal occult blood test does not rule out the possibility of colon cancer.
d.
I will contact your doctor so that you can discuss your concerns about the procedure.
Question 5A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and notes the presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity.
Question 6A nurse assesses clients at a community health center. Which client is at highest risk for the development of colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
b. A 44-year-old with irritable bowel syndrome (IBS)
c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently
Question 7A nurse assesses a client who is prescribed alosetron (Lotronex). Which assessment question should the nurse ask this client?
a. Have you been experiencing any constipation?
b. Are you eating a diet high in fiber and fluids?
c. Do you have a history of high blood pressure?
d. What vitamins and supplements are you taking?
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