Colorectal/ Colon Cancer By Rnpedia
Choose the letter of the correct answer.
- 1.Which of the follow statements provides accurate information regarding cancer of the colon and rectum?
- A.
Cancer of the colon and rectum is the second most common type of internal cancer in the United States.
- B.
Rectal cancer affects more than twice as many people as colon cancer.
- C.
The incidence of colon and rectal cancer decreases with age.
- D.
There is no hereditary component to colon cancer.
- 2.Which of the following characteristics are risk factors for colorectal cancer?
- A.
Familial polyposis
- B.
Age younger than 40
- C.
Low fat, low protein, high fiber diet
- D.
History of skin cancer
- 3.A client is being evaluated for cancer of the colon. In preparing the client for barium enema, the nurse should:
- A.
Give laxative the night before and a cleansing enema in the morning before the test
- B.
Render an oil retention enema and give laxative the night before
- C.
Instruct the client to swallow 6 radiopaque tablets the evening before the study
- D.
Place the client on CBR a day before the study
- 4.The client has a good understanding of the means to reduce the chances of colon cancer when he states:
- A.
“I will exercise daily.”
- B.
“I will include more red meat in my diet.”
- C.
“I will have an annual chest x-ray.”
- D.
“I will include more fresh fruits and vegetables in my diet.”
- 5.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?
- A.
Breast cancer
- B.
Lung cancer
- C.
Brain cancer
- D.
Colon and rectal cancer
- 6.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?
- A.
Duodenal ulcers
- B.
Hemorrhoids
- C.
Weight gain
- D.
Polyps
- 7.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?
- A.
Bowel perforation.
- B.
Viral gastroenteritis.
- C.
Colon cancer.
- D.
Diverticulitis.
- 8.When teaching a client about the signs of colorectal cancer, Nurse Trish stresses that the most common complaint of persons with colorectal cancer is:
- A.
Abdominal pain
- B.
Hemorrhoids
- C.
Change in caliber of stools
- D.
Change in bowel habits
- 9.You must rearrange the room assignment for several clients. Which two clients would best suited to put in the same room? (Choose the letter that applies).
- A.
A 35-year-old female with copious, intractable diarrhea and vomiting
- B.
A 43-year-old female second day post-operative cholecystectomy
- C.
A 53-year-old female with pain related to alcohol-associated pancreatitis
- D.
A 62-year-old female with colon cancer receiving chemotherapy and radiation
- 10.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?
- A.
The symptoms may be the result of anemia caused by chemotherapy.
- B.
The patient may be immunosuppressed.
- C.
The patient may be depressed.
- D.
The patient may be dehydrated.
- 11.When teaching a client about the signs of colorectal cancer, Nurse Trish stresses that the most common complaint of persons with colorectal cancer is:
- A.
Abdominal pain
- B.
Hemorrhoids
- C.
Change in caliber of stools
- D.
Change in bowel habits
- 12.Before discharge, the nurse scheduled the client who had a colostomy for colorectal cancer for discharge instruction about resuming activities. The nurse should plan to help the client understands that:
- A.
After surgery, changes in activities must be made to accommodate for the physiologic changes caused by the operation.
- B.
Most sports activities, except for swimming, can be resumed based on the client’s overall physical condition.
- C.
With counseling and medical guidance, a near normal lifestyle, including complete sexual function is possible.
- D.
Activities of daily living should be resumed as quickly as possible to avoid depression and further dependency.
- 13.Which diet is associated with an increased risk of colorectal cancer?
- A.
Low protein, complex carbohydrates
- B.
High protein, simple carbohydrates
- C.
High fat, refined carbohydrates
- D.
Low carbohydrates, complex proteins
- 14.A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:
- A.
Is the opening on the client’s left side
- B.
Is the opening on the distal end on the client’s left side
- C.
Is the opening on the client’s right side
- D.
Is the opening on the distal right side
- 15.Discharge instructions for a patient who has been operated on for colorectal cancer include irrigating the colostomy. The nurse knows her teaching is effective when the patient states he’ll contact the doctor if:
- A.
He experiences abdominal cramping while the irrigant is infusing
- B.
He has difficulty inserting the irrigation tube into the stoma
- C.
He expels flatus while the return is running out
- D.
He’s unable to complete the procedure in 1 hour
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