Author Question: A client who was recently diagnosed with anemia and rheumatoid arthritis reports to the nurse that ... (Read 32 times)

kellyjaisingh · **on:** Jul 22, 2018

A client who was recently diagnosed with anemia and rheumatoid arthritis reports to the nurse that she has noticed her stool is black, and she is concerned because there is a history of colon cancer in her family.

Which of the following assessment questions is most likely to provide in-formation regarding this client's bowel problem? a. What medications are you currently taking?
b. When did you have your last colonoscopy?
c. Does the arthritis severely impair your mobility?
d. Would you like to have the stool tested for occult blood?

Question 2

The nurse is administering an injection at the ventrogluteal site. Upon aspiration, the nurse notices that there is blood in the syringe. Which of the following actions should the nurse take?

a. Inject the medication.
b. Pull the needle back slightly and inject the medication.
c. Move the skin to the side and inject the medication slowly.
d. Discontinue the injection and prepare the medication again.

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

Answer to Question 1

A
Ingestion of iron, commonly prescribed for certain types of anemia, causes discoloration of the stool (black).
The last colonoscopy addresses the history of colon cancer, but does not address the most likely cause of black stool in this scenario.
Arthritis affecting mobility does not address the most likely cause of black stool in this scenario.
Having stool tested for occult blood may be indicated, but does not address the most likely cause of black stool in this scenario.

Answer to Question 2

D
If blood appears in the syringe, the nurse should remove the needle and dispose of the medica-tion and syringe properly. The nurse should then prepare another dose of medication for admin-istration.
The medication should not be injected, as it would be entering a blood vessel.
The needle should not be pulled back slightly and then injected, as there is no assurance of the needle being out of the vessel.
The medication should not be injected, as there is no assurance of the needle being out of the vessel.