A nurse is teaching a client how to do fecal occult blood testing. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: A

Rationale: Rationale: A: Low-dose aspirin can cause false positive results in fecal occult blood testing due to its effect on gastrointestinal bleeding. Therefore, the client should inform the healthcare provider and consider stopping or adjusting the aspirin therapy during the testing period. B: Refraining from raw fruits and vegetables is correct as they can interfere with the test results. C: Avoiding red meats is correct as they can also affect the test results. D: Continuing Coumadin as prescribed is correct as it does not interfere with fecal occult blood testing.

Correct Answer: A

Rationale: Peritonitis can occur as a complication of septicemia because the infection can spread to the peritoneum, causing inflammation and infection. Septicemia is the presence of pathogenic organisms in the bloodstream, which can lead to systemic inflammation and infection throughout the body, including the peritoneum. In contrast, multiple organ failure, hypovolemic shock, and peptic ulcer disease are not direct causes of peritonitis. Multiple organ failure involves dysfunction of various organs, hypovolemic shock is caused by severe blood loss leading to inadequate perfusion, and peptic ulcer disease is related to the erosion of the stomach lining. Hence, the correct answer is A, as septicemia is a direct cause of peritonitis.

Correct Answer: B

Rationale: The correct answer is B: serosa, visceral peritoneum. The outer layer of the GI tract is called the serosa, which is composed of connective tissue and a simple squamous epithelium known as the visceral peritoneum. The serosa helps to protect and support the GI tract. A: adventitia, visceral peritoneum - Adventitia is a dense connective tissue layer found in structures that are not intraperitoneal, whereas the visceral peritoneum is specific to the peritoneal cavity. C: serosa, parietal peritoneum - The parietal peritoneum is the outer layer of the peritoneum lining the abdominal cavity, not the outer layer of the GI tract. D: adventitia, parietal peritoneum - Similar to choice A, the parietal peritoneum is not part of the outer layer of the GI tract.

Correct Answer: C

Rationale: The correct answer is C: premolars and molars. Deciduous teeth consist of incisors, canines, and molars, totaling 20 in children. Adults have 32 permanent teeth, which include incisors, canines, premolars, and molars. Therefore, the 12 additional teeth in adults are the premolars and molars, making choice C the correct answer. Choice A (incisors and canines) is incorrect because these teeth are present in both deciduous and permanent dentition. Choice B (canines and premolars) is incorrect as it does not account for all 12 additional teeth in adults. Choice D (all molars) is incorrect as it excludes the premolars, which are also part of the additional teeth in adults.

Correct Answer: A

Rationale: The correct answer is A: smooth; esophagus. The cardiac sphincter is made of smooth muscle because smooth muscles are involuntary and control the movement of food from the esophagus into the stomach. Skeletal muscles are under voluntary control and are not found in sphincters. Choices C and D are incorrect because the duodenum is part of the small intestine and not relevant to the cardiac sphincter's function.