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A nurse is planning care for a client who requires screening for rectal cancer.
Which of the following tests should the nurse anticipate in the client's care?

A.

Colonoscopy.

B.

Endoscopic retrograde cholangiopancreatography (ERCP).

C.

Upper GI series.

D.

Upper GI endoscopy.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Colonoscopy is the recommended test for screening for rectal cancer. It allows for direct visualization of the entire colon and rectum, enabling the detection and biopsy of polyps or

suspicious lesions. It is the gold standard for colorectal cancer screening.

 

Choice B rationale

Endoscopic retrograde cholangiopancreatography (ERCP) is used to diagnose and treat conditions of the bile ducts, pancreas, and gallbladder. It’s not typically used for colorectal

cancer screening.

 

Choice C rationale

An upper GI series involves X-rays of the upper gastrointestinal tract (esophagus, stomach, and duodenum) after swallowing a contrast medium. This test does not visualize the

lower GI tract, including the colon and rectum, and is therefore not suitable for rectal cancer screening.

 

Choice D rationale

Upper GI endoscopy allows for direct visualization of the upper gastrointestinal tract but does not reach the colon and rectum. Hence, it is not used for screening rectal cancer


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Clients should be instructed to hold their breath for about 10 seconds after inhalation, not 2 seconds. This allows the medication to reach deeper into the lungs.

Choice B rationale

The MDI canister should not be washed after each use. Instead, it should be cleaned regularly to ensure proper functioning and avoid medication buildup.

Choice C rationale

Clients should be instructed to inhale the medication slowly and deeply over a few seconds, rather than quickly for 1 second. This ensures proper delivery of the medication to the lungs.

Choice D rationale

Shaking the MDI prior to administration is essential. This action mixes the medication evenly, ensuring that the correct dose is delivered with each puff.

Correct Answer is D

Explanation

Choice A rationale

It is best practice to use a new cotton swab for each swipe to avoid contamination. Each area should be cleaned with a separate cotton swab.

Choice B rationale

Oil-based lubricants should not be used with catheters as they can interfere with the material of the catheter. Water-based lubricants are preferred.

Choice C rationale

Testing the balloon on the indwelling urinary catheter before insertion can lead to an increased risk of contamination and potential damage to the catheter.

Choice D rationale

Sterile gloves are essential to prevent infection during the insertion of an indwelling urinary catheter. Maintaining a sterile field is crucial.

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