NCLEX Colorectal Cancer Questions – Flashcards

The occupational health nurse is preparing a presentation to a group of factory workers about preventing colon cancer. Which information should be included? 1. Wear a high filtration mask around chemicals. 2. Eat several servings of cruciferous vegetables daily. 3. Take a multivitamin daily. 4. Do not engage in high-risk sexual behavior.

The nurse is admitting a male client with a diagnosis of adenocarcinoma of the rectosigmoid colon. Which assessment data support this diagnosis? 1. Reports up to 20 bloody stools per day. 2. States he has a feeling of fullness after a heavy meal. 3. Has diarrhea alternating with constipation. 4. Complains of RLQ pain with rebound tenderness.

The 85 y.o. male client diagnosed with colon cancer asks the nurse, "Why did I get colon cancer?" Which is best response about colon cancer? 1. Lack of fiber in the diet. 2. Greatest incidence among those younger than 50. 3. Has no known risk factors. 4. Rare among male clients.

The nurse is planning care of a client who has had an abdominal perineal resection for colon cancer. Which interventions should the nurse implement? Select all that apply: 1. Provide meticlulous skin care to stoma. 2. Assess the flank incision. 3. Maintain the indwelling catheter. 4. Irrigate the JP drains every shift. 5. Position the client semi-recumbent.

The client who has had an abdominal perineal resection is being discharged. Which info should nurse teach? 1. The stoma should be a white, blue, or purple color. 2. Limit ambulation to prevent the pouch from coming off. 3. Take pain meds when pain level is at 8. 4. Empty pouch when 1/3 to 1/2 full.

the nurse caring for the pt 1day post op sigmoid resection notes a moderate amount of dark reddish brown drainage on the midline abdominal incision. Which intervention is first? 1. Mark the drainage on the dressing with the time and date. 2. Change the dressing immediately using sterile technique. 3. Notify the health care provider immediately. 4. Reinforce the dressing with a sterile gauze pad.

The pt complains to the nurse of unhappiness with the HCP. Which intervention should the nurse do next? 1. Call HCP and suggest he or she talk to pt 2. Determine what about he HCP is bothering pt. 3. Notify nursing supervisor to arrange a new HCP to take over. 4. Explain that pt. has to keep HCP till after discharge.

The pt with a new colostomy is being discharged. Which statement indicates a need for further teaching? 1. If I notice any skin breakdown I will call HCP. 2. I should drink only liquids until the colostomy starts to work. 3. I should not take a tub bath until the HCP says it's ok. 4. I should not drive or lift more than 5 pounds.

The nurse is caring for pts in an outpatient clinic. Which info should the nurse teach regarding the American Cancer Society's recommendations for early detection of colon cancer? 1. Beginning at age 60, a digital rectal exam should be done annually. 2. After pt reaches middle age, yearly fecal occult test. 3. At age 50, a colonoscopy, then once every 5-10 years. 4. A flexible sigmoidoscopy should be done yearly after age 40.

The nurse writes a psychosocial problem of "risk for altered sexual functioning related to new colostomy. Which intervention should the nurse implement? 1. Tell pt. that there should be no intimacy for at least 3 months. 2. Ensure that the pt and partner are able to change the ostomy pouch. 3. Demonstrate with charts possible sexual positions for the pt. to assume. 4. Teach the pt. to protect the pouch from being dislodged during sex.

The pt presents with a complete blockage of the large intestine from a large tumor. Which HCP's order would the nurse question? 1. Obtain consent for a colonoscopy and biopsy. 2. Start an IV of 0.9% saline at 125 mL/hr. 3. Administer 3 liters of Go Lytely. 4. Give tap water enemas until it is clear.