A patient expresses concerns over having black stool. The fecal ...

[lb_gilbert]

A patient expresses concerns over having black stool. The fecal occult test is negative. Which response by the nurse is most appropriate?
 
  a. This is probably a false negative; we should rerun the test.
  b. Do you take iron supplements?
  c. You should schedule a colonoscopy as soon as possible.
  d. Sometimes severe stress can alter stool color.

Question 2

Which patient is most at risk for increased peristalsis?
 
  a. A 5-year-old child who ignores the urge to defecate owing to embarrassment
  b. A 21-year-old patient with three final examinations on the same day
  c. A 40-year-old woman with major depressive disorder
  d. An 80-year-old man in an assisted-living environment

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Answer to Question 1

ANS: B
Certain medications and supplements, such as iron, can alter the color of stool. The fecal occult test takes three separate samples over a period of time and is a fairly reliable test. A colonoscopy is health prevention screening that should be done every 5 to 10 years; it is not the nurse's initial priority. Stress alters GI motility and stool consistency, not color.

Answer to Question 2

ANS: B
Stress can stimulate digestion and increase peristalsis. Ignoring the urge to defecate, depression, and age-related changes of the elderly are causes of constipation.

[lb_gilbert]

Both answers were spot on, thank you once again

[adf223]

Great! Please up vote