Author Question: The nurse is reviewing data within a patient's health history. Which factor in the history should ... (Read 129 times)

bb · **on:** Jun 25, 2018

The nurse is reviewing data within a patient's health history. Which factor in the history should the nurse recognize as related to the development of familial adenomatous polyposis?

1. The patient eats a diet high in red meat.
2. The patient has never had the recommended screening colonoscopy.
3. The patient's grandfather died of colon cancer.
4. The patient had a basal cell skin cancer removed 2 year ago.

Question 2

The nurse is instructing a patient newly diagnosed with celiac disease. The nurse knows follow-up is needed when the patient identifies which foods as appropriate choices?

1. spinach salad and corn
2. beefsteak and green beans
3. whole-wheat toast and baked chicken
4. apple slices and tuna salad

kaykay69 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
Familial adenomatous polyposis (FAP) is an inherited disorder characterized by progressive development of colorectal adenomas. Unless treated, colorectal cancer inevitably occurs by the fourth or fifth decade of life. Red meat, not having colonoscopies, and having basal cell skin cancer do not predispose the patient to this disorder.

Answer to Question 2

Correct Answer: 3
Whole-wheat toast is not a healthful choice for this patient. If people with celiac disease eat certain types of proteins (glutens, found in wheat, barley, rye, and oats), an autoimmune response causes damage to the small intestine, and nutrients are not absorbed. The remaining menu choices do not contain gluten and are healthy choices for this patient.