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Cancer Exam 4 (Final exam) Questions and Answers Latest Update
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The nurse is conducting a history on a male client to determine the severity of symptoms associated with prostate enlargement. Which finding is cause for prompt action by the nurse? a. Cloudy urine b. Urinary hesitancy c. Post-void dribbling d. Weak urinary stream - Answer-a. Cloudy urine A ...

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  • October 18, 2024
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  • cancer exam 4 final exam questions and answers l
  • the nurse is conducting a history on a male client

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Cancer Exam 4 (Final exam) Questions
and Answers Latest Update
The nurse is conducting a history on a male client to determine the severity of
symptoms associated with prostate enlargement. Which finding is cause for prompt
action by the nurse?
a. Cloudy urine
b. Urinary hesitancy
c. Post-void dribbling
d. Weak urinary stream - Answer-a. Cloudy urine

A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable.
After assessing the clients behavior, which statement by the nurse would be the most
appropriate?
a. The urine incontinence should not prevent you from socializing
b. You seem depressed and should seek more pleasant things to do
c. It is common for men at your age to have changes in mood
d. Nocturia could cause interruption of your sleep and cause changes in mood. -
Answer-d. Nocturia could cause interruption of your sleep and cause changes in mood.

55-year-old African American client is having a visit with his health care provider. What
test should the nurse discuss with the client as an option to screen for prostate cancer,
even though screening is not routinely recommended?
a. Complete blood count
b. Culture and sensitivity
c. Prostate specific antigen
d. Cytoscopy - Answer-c. Prostate specific antigen

The nurse is teaching a client with benign prostatic hyperplasia. What statement
indicated a lack of understanding by the client?
a There should be no problem with a glass of wine with dinner each night
b I am so glad that I weaned myself off of coffee about a year ago
c I need to inform my allergist that I cannot take my normal decongestant
d My normal routine of drinking a quart of water during exercise needs to change. -
Answer-a There should be no problem with a glass of wine with dinner each night

A client has returned form a transurethral resection of the prostate with a continuous
bladder irrigation. Which action by the nurse is a priority if bright red urinary drainage
and cots are notes 5 hours after the surgery?
a. Review the hemoglobin and hematocrit as ordered
b. Take vital signs and notify the surgeon immediately
c. Release the traction on the 3 way catheter
d. Remind the client not to pull on the catheter - Answer-b. Take vital signs and notify
the surgeon immediately

,A nurse and an unlicensed assistive personnel are caring for a client with an open
radical prostatectomy. Which comfort measure could the nurse delegate to the UAP?
a. Administering an antispasmodic for bladder spasms
b. Managing pain through patient controlled analgesia
c. Applying ice to a swollen scrotum and penis
d. Helping the client transfer from the bed to the chair - Answer-d. Helping the client
transfer from the bed to the chair

client is diagnosed with metastatic prostate cancer. The client asks the nurse the
purpose of his treatment with the lutenizing hormone releasing hormone agonist
leuprolide (Lupron) and the bisphosphonate pamidronate (Aredia). Which statement by
the nurse is most appropriate?
a. The treatment reduces testosterone and prevents bone fractures
b. The medications prevent erectile dysfunction and increase libido
c. There is less gynocomastia and osteoporosis with this drug regimen
d. These medications both inhibit tumor progression by blocking androgens - Answer-a.
The treatment reduces testosterone and prevents bone fractures

The nurse is administering sulfamethoxazole-trimethoprom (Bactrim) to a client
diagnosed with bacterial psostatis. Which finding causes the nurse to question this
medication for this client?
a. UTI
b. Allergy to sulfa medications
c. Hematuria
d. Elevated serum WBC - Answer-b. Allergy to sulfa medications

55 year old male client is admitted to the emergency department with symptoms of a
myocardial infarction. Which question by the nurse is the most appropriate before
administering nitroglycerin?
a. On a scale form 0 to 10, what is the rating of your chest pain?
b. Are you allergic to any food or medications?
c. Have you taken any drugs like Viagra recently?
d. Are you light headed or dizzy right now? - Answer-c. Have you taken any drugs like
Viagra recently?

24-year-old client comes to the clinic with concerns about an enlarged left testicle and
heaviness in his lower abdomen. Which diagnostic test would the nurse expect to be
ordered to confirm testicular cancer?
a. Alpha-fetoprotein
b. Prostate-specific antigen
c. Prostate acid phosphatase
d. C-reactive protein - Answer-a. Alpha-fetoprotein

A 25-year-old client has recently been diagnosed with testicular cancer and is
scheduled for radiation therapy. Which intervention by the nurse is best?

, a. Ask the client about his support system of friends and relatives
b. Encourage the client to verbalize his fears about sexual performance
c. Explore with the client the possibility of sperm collection
d. Provide privacy to allow time for reflection about the treatment - Answer-c. Explore
with the client the possibility of sperm collection

A 7-year-old client returned from a transurethral resection of the prostate 8 hours ago
with a continuous bladder irrigation. The nurse reviews his laboratory results as follows:
Sodium 128, Hemoglobin 14, Hematocrit 42%, RBC 4.5. What action by the nurse is the
most appropriate?
a. Consider starting a blood transfusion
b. Slow down the bladder irrigation if the urine is pink
c. Report the findings to the surgeon immediately
d. Take the vital signs every 15 minutes - Answer-b. Slow down the bladder irrigation if
the urine is pink

The nurse is teaching an uncircumsized 65-year-old client about self-management of a
urinary catheter in preparation for discharge to his home. What statement indicates a
lack of understanding by the client?
a. I only have to wash the outside of the catheter one a week
b. I should take extra time to clean the catheter site by pushing the foreskin back
c. The drainage bag needs to be changed at least once a week and as needed
d. I should pour a solution of vinegar and water through the tubing and bag - Answer-a. I
only have to wash the outside of the catheter one a week

The nurse is administering finasteride (Proscar) and doxazosin (Cardura) to a 67-year-
old client with benign prostatic hyperplasia. What precautions are related to the side
effects of these medications? SATA
a. Assessing for blood pressure changes when lying, sitting, and arising from the bed
b. Immediately reporting any change in the alanine aminotransferase laboratory test
c. Teaching the client about the possibility of increased libido with these medications
d. Taking the clients pulse rate for a minute in anticipation of bradycardia
e. Asking the client to report any weakness, light headedness, or dizziness. - Answer-a.
Assessing for blood pressure changes when lying, sitting, and arising from the bed
b. Immediately reporting any change in the alanine aminotransferase laboratory test
e. Asking the client to report any weakness, light headedness, or dizziness.

A client is interested I learning about the risk factors for prostate cancer. Which factors
does the nurse include in the teaching? SATA
a. Family history of prostate cancer
b. Smoking
c. Obesity
d. Advanced age
e. Eating too much red meat
f. Race - Answer-a. Family history of prostate cancer
d. Advanced age

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