Author Question: A 68-year-old male reports painless rectal bleeding occasionally noted with thin pencil-like stools, ... (Read 77 times)

Mr. Wonderful · **on:** Jul 11, 2018

A 68-year-old male reports painless rectal bleeding occasionally noted with thin pencil-like stools, but no pain with defection. He has a history of colon polyp removal 10 years ago but was lost to follow-up.

The nurse practitioner's appropriate intervention is:
A. Digital rectal exam and send home with 3 hemoccult to return
B. Immediate referral to gastroenterologist and colonoscopy
C. Order a screening sigmoidoscopy
D. Order a colonoscopy and barium enema and refer based on results

Question 2

A 62-year-old woman presents with a recurrent urinary tract infection. She now has a fever of 104F and severe costovertebral tenderness with pyuria. What is the appropriate diagnosis and intervention for this patient?

A. Septic arthritis and oral prednisolone is indicated
B. Pyelonephritis and hospitalization is required
C. Recurrent cystitis and 10 days of antibiotics are needed
D. Pelvic inflammatory disease and 7 days of antibiotics are indicated