Author Question: A nurse is teaching a health class about colorectal cancer. Which information should the nurse ... (Read 51 times)

CharlieWard · **on:** Jul 22, 2018

A nurse is teaching a health class about colorectal cancer. Which information should the nurse include in the teaching session? (Select all that apply.)

a. A risk factor is smoking.
b. A risk factor is high intake of animal fats or red meat.
c. A warning sign is rectal bleeding.
d. A warning sign is a sense of incomplete evacuation.
e. Screening with a colonoscopy is every 5 years, starting at age 50.
f. Screening with flexible sigmoidoscopy is every 10 years, starting at age 50.

Question 2

Which nutritional instruction is a priority for the nurse to advise a patient about with an ileostomy?

a. Keep fiber low.
b. Eat large meals.
c. Increase fluid intake.
d. Chew food thoroughly.

ong527 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A, B, C, D
Risk factors for colorectal cancer are a diet high in animal fats or red meat and low intake of fruits and vegetables; smoking and heavy alcohol consumption are also risk factors. Warning signs are change in bowel habits, rectal bleeding, a sensation of incomplete evacuation, and unexplained abdominal or back pain. A flexible sigmoidoscopy is every 5 years, starting at age 50, while a colonoscopy is every 10 years, starting at age 50.

Answer to Question 2

ANS: C
Patients with ileostomies will digest their food completely but will lose both fluid and salt through their stoma and will need to be sure to replace this to avoid dehydration. A good reminder for patients is to encourage drinking an 8-ounce glass of fluid when they empty their pouch. This helps patients to remember that they have greater fluid needs than they did before having an ileostomy. A low-fiber diet is not necessary. Eating large meals is not advised. While chewing food thoroughly is correct, it is not the priority; liquid is the priority.