While collecting a health history on a patient admitted for colon ...

[Mr.Thesaxman]

While collecting a health history on a patient admitted for colon cancer, which of the following questions would be a priority to ask this patient?
 
  a. Have you noticed any blood in your stool?
  b. Have you been experiencing nausea?
  c. Do you have back pain?
  d. Have you noticed any swelling in your abdomen?

Question 2

The nurse is caring for a child with tonsillar enlargement. What is the nurse's priority concern?
 
  a. Low oxygen saturation
  b. Daytime fatigue
  c. Increased temperature
  d. Antibiotic administration

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Answer to Question 1

ANS: A
Early colon cancer is often asymptomatic, with occult or frank blood in the stool being an assessment finding in a patient diagnosed with colon cancer. If pain is present, it is usually lower abdominal cramping. Constipation and diarrhea are more frequent findings than nausea or ascites.

Answer to Question 2

ANS: A
Tonsillar enlargement in children often leads to obstructive sleep apnea which can cause decreased oxygen saturation levels. Low oxygen is a priority concern which carries the highest safety risk to the child. Obstructive sleep apnea occurs in an estimated 13 of children, though the causative factors may differ with tonsillar enlargement being a significant component in children. Infection that leads to an increased temperature and requires antibiotic therapy is a concern, but the priority health concern is low oxygen levels. Obstructive sleep apnea can interfere with sleep patterns and lead to daytime fatigue, but the highest priority of care is low oxygen.

[Mr.Thesaxman]

Thanks for the timely response, appreciate it

[Liddy]

TYSM