Nokea
The female client diagnosed with bladder cancer who has a cutaneous urinary diversion states, 'Will I be able to have children now?' Which statement is the nurse’s best response?
- A. Cancer does not make you sterile, but sometimes the therapy can.'
- B. Are you concerned you can’t have children?'
- C. You will be able to have as many children as you want.'
- D. Let me have the chaplain come to talk with you about this.'
Correct Answer: A
Rationale: Bladder cancer itself does not cause sterility, but treatments (e.g., chemotherapy, radiation) may affect fertility. This response is accurate and informative. Reflecting concern, promising fertility, or referring to a chaplain avoids the question.
You may also like to solve these questions
When teaching a client with cystitis about urinary tract irritants, the nurse correctly identifies which of the following substances as potential irritants to avoid? Select all that apply.
- A. Alcohol
- B. Milk
- C. Tea
- D. Chocolate
- E. Coffee
- F. Pears
Correct Answer: A,C,E
Rationale: Alcohol, tea, and coffee are bladder irritants that can exacerbate cystitis symptoms, while milk and pears are generally neutral.
When asked about factors that are linked to bladder cancer, the nurse correctly identifies which factors? Select all that apply.
- A. Stress incontinence
- B. Frequent intercourse
- C. Sexual promiscuity
- D. Cigarette smoking
- E. History of prostate cancer
- F. Exposure to asbestos
Correct Answer: D
Rationale: Cigarette smoking is a well-established risk factor for bladder cancer.
While the fluid is being administered, which nursing assessment is most important?
- A. Checking for pedal edema
- B. Assessing the rapid weight gain
- C. Monitoring specific gravity
- D. Auscultating breath sounds
Correct Answer: D
Rationale: Auscultating breath sounds is critical during a fluid challenge to detect signs of fluid overload, such as pulmonary edema.
What is the primary reason for administering a laxative before the procedure?
- A. To the bowel aids in examining the lower GI tract.
- B. Emptying the bowel prevents accidental stool incontinence during the X-ray.
- C. Emptying the bowel reduces the potential for constipation or impaction.
- D. Emptying the bowel improves the ability to visualize the urinary structures.
Correct Answer: D
Rationale: Emptying the bowel before intravenous pyelography (IVP) enhances visualization of the urinary structures by reducing interference from fecal matter.
In evaluating multiple clients with UTIs, the clinic nurse should identify which client to be at least risk for developing a UTI?
- A. A client with urethral mucosa damage
- B. A client with an altered mental condition
- C. A client with an altered metabolic state
- D. An immunocompromised client
Correct Answer: C
Rationale: An altered metabolic state, without specific risk factors like diabetes, poses the least risk for UTIs compared to mucosal damage, mental status changes, or immunosuppression.