ATI Fundamental RN 2016A
ATI Fundamental RN 2016A
1. A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have a rout
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ATI Fundamental RN 2016A
ATI Fundamental RN 2016A
1. A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following responses should the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "Beginning at age 600, you should have a colonoscopy."
C. "You should have a fecal occult blood test every year."
D. "The recommendation is to have a sigmoidoscopy every 10 years."
Blood tests do not detect colorectal cancer.
Colorectal cancer screening for clients at average risk begins at age 50. One option for screening is a colonoscopy every 10 years. Another option for screening is a flexible sigmoidoscopy every 5 years.
2. A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal cannula delivering oxygen. Which of the following interventions should the nurse take first?
A. Suction the client's airway
B. Administer a bronchodilator
C. Increase the humidity in the client's room
D. Assist the client to an upright position
R: When providing client care, the nurse should first use the least invasive intervention. Therefore, the nurse should elevate the head of the client's bed to the semi-Fowler's or high Fowler's position to facilitate maximal chest expansion. Sitting upright improves gas exchange and prevents pressure on the diaphragm from abdominal organs.
Increase the humidity in the client's room.
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