Final answer:
A positive result for a guaiac fecal occult blood test (gFOBT) is shown by a blue reaction, characterized by moderate-to-large sized dark clumps against a blue-green background on the test card.
Step-by-step explanation:
When an ambulatory care nurse is performing a guaiac fecal occult blood test (gFOBT), a positive result is indicated by a blue reaction. Specifically, the presence of moderate-to-large sized dark clumps against a blue-green background, distributed uniformly over the surface of the test circle, signifies a positive test for occult blood in the stool. This result suggests that there may be bleeding within the gastrointestinal tract that requires further medical evaluation.