Nokea
A patient, age 56, has been advised that his prostate-specific antigen (PSA) level is elevated. Which test will be the next definitive diagnostic test?
- A. CA-125 test
- B. Transrectal ultrasound
- C. Needle biopsy of the prostate
- D. MRI
Correct Answer: B
Rationale: Men over the age of 50 should be advised to have a prostate-specific antigen (PSA) test and rectal examination once a year. The transrectal ultrasonography (TRUS) is used in the early detection of prostate cancer.
You may also like to solve these questions
The nurse instructs a patient who has been smoking for 5 years about the warning signs of cancer. The nurse tells him that one of cancer?s eight warning signals include which change?
- A. nagging cough or hoarseness.
- B. a sore that does not heal rapidly.
- C. gallbladder disease.
- D. hematopoietic changes.
Correct Answer: A
Rationale: Cancer?s eight warning signals include nagging cough or hoarseness.
Which patient will be the highest priority for referral for a prostate-specific antigen (PSA)?
- A. 43-year-old Hispanic man
- B. 45-year-old African American man
- C. 49-year-old Korean man
- D. 50-year-old Native American man
Correct Answer: B
Rationale: African American men are a high-risk population for prostate cancer. Asian Americans and Native Americans have a relatively low incidence of prostate cancer.
For which reason is seeking medical attention when any cancer warning signs occur frequently delayed?
- A. Difficulty accessing a health care provider or getting a referral consult.
- B. Lack of knowledge of the warning signs of cancer.
- C. Fear of the possible diagnosis of cancer and hoping signs will go away.
- D. Self-examination being complex and difficult to perform.
Correct Answer: C
Rationale: Seeking medical attention when any warning signs occur is frequently delayed because people fear the possible diagnosis of cancer and hope the signs and symptoms will just go away.
Which statement is appropriate for a nurse to tell a patient before insertion of the radioactive implant?
- A. Nurses will always be available, but they will spend only short periods of time at your bedside.'
- B. Personal cleanliness is essential, so you will be given a complete bed bath each day.'
- C. Your diet will be changed to a high-fiber diet to encourage daily bowel movements.'
- D. Your bed linens will be completely changed each day to minimize radioactive contamination.'
Correct Answer: A
Rationale: Generally, it is recommended that the nurse spend short periods of time in the room of a patient with an implant. Baths and linen changes are not given daily. A low-residue diet is the norm to minimize peristalsis and bowel movements that might dislodge the implant.
The nurse expects which nursing intervention to be in the plan of care for a patient experiencing thrombocytopenia following chemotherapy to treat cancer?
- A. Take aspirin daily to promote blood flow.
- B. Avoid all sexual contact
- C. Use a soft toothbrush for mouth care
- D. Take antibiotics before elective surgery
- E. Apply direct pressure for 5 - 10 minutes if bleeding occurs
Correct Answer: C,E
Rationale: A person with a low platelet count is at risk for bleeding. The patient should use a soft toothbrush for mouth care and apply direct pressure for 5-10 minutes if bleeding occurs. Aspirin is contraindicated with thrombocytopenia. If the patient has sexual intercourse, gentleness and adequate lubrication should be used. The patient should not have any elective surgery. In addition, antibiotics will not be beneficial for a low platelet count.