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Nursing Fundamentals Bowel Elimination Quiz

9/25/22, 4:20 PM Elsevier Adaptive Quizzing - Quiz performance XPerformance Exit Bowel Elimination Due Sep 26,2022 by l1:59 pm Final Score 100% 49 out of 63 questions answered correctly Completed on Sep 25, 2022 4:19 pm Incorrect (14) The nurse is educating a middle-aged patient about the screening guidelines for the early detection of colorectal cancer in average-risk asymptomatic people as specified by the American Cancer Society. At which frequency would the nurse advise the patient to get a DNA stool test? Annually, starting at age 45 Every 3 years, starting at age 45 https://eaqng.elsevier.com/#/quizPerformance/29760794 1/47 9/25/22, 4:20 PM Elsevier Adaptive Quizzing - Quiz performance Every 5 years, starting at age 50 ) Every 10 years, starting at age 50 Rationale According to the American Cancer Society screening guidelines for the early detection at age 45. Therefore, a DNA stool test should be performed every 3 years, starting at age 45. A guaiac fecal occult blood test (gFOBT) done on multiple samples at home is performed annually. A flexible sigmoidoscopy should be performed every 5 years. A colonoscopy should be performed every 10 years p. 1291 List the steps to apply an ostomy pouch in the correct order. 1. Apply clean gloves. 2. Close the end of pouch with clip or integrated closure. 3. Measure the stoma. 4. Cut an opening on the pouch. 5. Press the adhesive backing of the pouch smoothly against the skin 6. Remove the used pouch and skin barrier. 7. Gently cleanse the peristomal skin with warm tap water. https://eaqng.elsevier.com/#/quizPerformance/29760794 2/47 9/25/22, 4:20 PM Rationale Elsevier Adaptive Quizzing - Quiz performance removing the used pouch to allow for visualization of the skin and stoma. Cleans the stoma to remove microorganisms and allow for proper visualization. Next, measure the stoma to ensure the selection of the correct size of pouch. Cut an opening to allow for customization of the pouch to provide an appropriate fit over the stoma. Then gently apply the pouch smoothly to ensure adherence. Finally, close the end of the pouch with a clip or integrated closure to prevent leakage of the contents of the pouch. pp. 1312-1313 Which statement is accurate regarding the guaiac fecal occult blood test (gFOBT) and the fecal immunochemical test (FIT) for measuring microscopic amounts of blood in the feces? The gFOBT is a more sensitive test. Both tests require the patient to consume citrus fruits and juices for 3 days before testing to avoid false-negative result. Both tests need to be repeated at least 2 times on two separate bowel movements. The FIT requires no dietary restrictions. Rationale A FIT requires no preparation or dietary restrictions. The gFOBT requires that the patient follow certain dietary restrictions before testing. A patient about to undergo the gFOBT has to stop taking aspirin, ibuprofen, naproxen, and any other nonsteroida antiinflammatory drugs 7 days prior to the test because these could cause a false- positive test result. The FIT is a more sensitive test than the gFOBT. Patients about to underg