Questions: The nurse is reviewing the medical record of an inpatient client and notes a positive stool occult blood test. The nurse recognizes which factors may have contributed to this positive result? Select all that apply. Current corticosteroid use Daily consumption of red meat Hemiparesis Recent invasive dental procedure Amblyopia Current naproxen sodium use

The nurse is reviewing the medical record of an inpatient client and notes a positive stool occult blood test. The nurse recognizes which factors may have contributed to this positive result? Select all that apply.
Current corticosteroid use
Daily consumption of red meat
Hemiparesis
Recent invasive dental procedure
Amblyopia
Current naproxen sodium use
Transcript text: The nurse is reviewing the medical record of an inpatient client and notes a positive stool occult blood test. The nurse recognizes which factors may have contributed to this positive result? Select all that apply. Current corticosteroid use Daily consumption of red meat Hemiparesis Recent invasive dental procedure Amblyopia Current naproxen sodium use
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Solution

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The answer includes the following factors that may have contributed to a positive stool occult blood test:

  1. Current corticosteroid use
  2. Daily consumption of red meat
  3. Recent invasive dental procedure
  4. Current naproxen sodium use

Explanation for each option:

  1. Current corticosteroid use: Correct. Corticosteroids can cause gastrointestinal irritation and increase the risk of bleeding, which can result in a positive stool occult blood test.

  2. Daily consumption of red meat: Correct. Red meat contains heme, which can cause a false positive result in stool occult blood tests.

  3. Hemiparesis: Incorrect. Hemiparesis, which is weakness on one side of the body, does not directly contribute to gastrointestinal bleeding or a positive stool occult blood test.

  4. Recent invasive dental procedure: Correct. An invasive dental procedure can cause bleeding, which might be swallowed and then detected in the stool.

  5. Amblyopia: Incorrect. Amblyopia, or "lazy eye," is unrelated to gastrointestinal bleeding and would not contribute to a positive stool occult blood test.

  6. Current naproxen sodium use: Correct. Naproxen sodium is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and bleeding, leading to a positive stool occult blood test.

Summary: The factors that may have contributed to a positive stool occult blood test are current corticosteroid use, daily consumption of red meat, recent invasive dental procedure, and current naproxen sodium use.

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