1.
Which of the following statements provides accurate information regarding cancer of the colon and rectum?
Correct Answer
A. Cancer of the colon and rectum is the second most common type of internal cancer in the United States.
Explanation
The statement "Cancer of the colon and rectum is the second most common type of internal cancer in the United States" provides accurate information regarding cancer of the colon and rectum.
2.
Which of the following characteristics are risk factors for colorectal cancer?
Correct Answer
A. Familial polyposis
Explanation
Family history of colon cancer or familial polyposis is a risk factor for colorectal cancer.
3.
A client is being evaluated for cancer of the colon. In preparing the client for a barium enema, the nurse should:
Correct Answer
A. Give laxative the night before and a cleansing enema in the morning before the test.
Explanation
In order to prepare the client for a barium enema, the nurse should give a laxative the night before and a cleansing enema in the morning before the test. This is because the laxative will help to empty the colon and the cleansing enema will further cleanse the colon, ensuring that it is clear for the procedure. This preparation is necessary to obtain accurate and clear images of the colon during the barium enema.
4.
A 37-year-old client with uterine cancer asks the nurse, "Which is the most common type of cancer in women?" The nurse replies that it's breast cancer. Which type of cancer causes the most deaths in women?
Correct Answer
B. Lung cancer
Explanation
Lung cancer causes the most deaths in women. While breast cancer is the most common type of cancer in women, lung cancer is the leading cause of cancer-related deaths in women. This is due to factors such as smoking, exposure to secondhand smoke, and other environmental factors that increase the risk of developing lung cancer.
5.
The nurse is interviewing a male client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer?
Correct Answer
D. Polyps
Explanation
Polyps are abnormal growths that can develop in the colon or rectum. They are considered a preexisting condition that may lead the nurse to suspect colorectal cancer. This is because some polyps can eventually turn into cancer if left untreated. Therefore, the presence of polyps in the client's past medical history raises concern for the possibility of colorectal cancer. Duodenal ulcers, hemorrhoids, and weight gain are not directly associated with colorectal cancer.
6.
A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern?
Correct Answer
A. Bowel perforation.
Explanation
The patient's symptoms of increasing abdominal pain, fever, and chills are indicative of a potential complication following fiberoptic colonoscopy, such as bowel perforation. Bowel perforation is a serious condition that can lead to infection and sepsis if not promptly treated. Therefore, it poses the most immediate concern and requires immediate medical attention. Viral gastroenteritis, colon cancer, and diverticulitis may cause similar symptoms, but they are less likely to be immediate concerns following a colonoscopy.
7.
When teaching a client about the signs of colorectal cancer, Nurse Trish stresses that the most common complaint of persons with colorectal cancer is:
Correct Answer
D. Change in bowel habits
Explanation
The most common complaint of persons with colorectal cancer is a change in bowel habits. This can include symptoms such as diarrhea, constipation, or a change in the frequency or consistency of stools. It is important for clients to be aware of these changes as they can be early signs of colorectal cancer and should be reported to a healthcare provider for further evaluation. Abdominal pain and hemorrhoids can also be symptoms of colorectal cancer, but a change in bowel habits is the most common complaint.
8.
You must rearrange the room assignment for a few clients. Which two clients can be best suited to stay in the same room? (Choose the letter that applies).
Correct Answer(s)
B. A 43-year-old female second-day post-operative cholecystectomy
C. A 53-year-old female with pain related to alcohol-associated pancreatitis
Explanation
The 43-year-old female who is second-day post-operative cholecystectomy and the 53-year-old female with pain related to alcohol-associated pancreatitis can be best suited to stay in the same room. Both patients have undergone medical procedures and are likely to have similar post-operative care needs. They may benefit from being in the same room as they can provide support and understanding to each other during their recovery process.
9.
A patient received surgery and chemotherapy for colon cancer, completing therapy 3 months previously, and she is now in remission. At a follow-up appointment, she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations could account for her symptoms?
Correct Answer
A. The symptoms may be the result of anemia caused by chemotherapy.
Explanation
The patient's symptoms of fatigue and difficulty with concentration following activity could be explained by anemia caused by chemotherapy. Chemotherapy can cause a decrease in red blood cell count, leading to anemia. Anemia can result in reduced oxygen delivery to the tissues, leading to fatigue and cognitive difficulties. Therefore, it is likely that the patient's symptoms are due to anemia caused by chemotherapy.
10.
Which diet is associated with an increased risk of colorectal cancer?
Correct Answer
C. High fat, refined carbohydrates
Explanation
A diet high in fat and refined carbohydrates is associated with an increased risk of colorectal cancer. This is because high fat intake can lead to increased production of bile acids and fatty acids, which can promote the growth of cancer cells. Refined carbohydrates, such as white bread and sugary snacks, can cause spikes in blood sugar levels and inflammation, both of which have been linked to an increased risk of colorectal cancer.