Nokea
The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement, if made by the patient, indicates that teaching was effective?
- A. The biopsy will remove the cancer in my prostate gland.
- B. The biopsy will determine how much longer I have to live.
- C. The biopsy will help decide the treatment for my enlarged prostate.
- D. The biopsy will indicate whether the cancer has spread to other organs.
Correct Answer: C
Rationale: Prostate biopsy snags tissue to check if enlargement's benign (BPH) or malignant guiding treatment like surgery or radiation. It's not therapeutic , doesn't predict lifespan , and staging spread needs more (e.g., scans). Nurses in oncology stress this it's a diagnostic linchpin, setting the course for managing prostate issues, critical for patient buy-in and clarity.
You may also like to solve these questions
For a patient with osteogenic sarcoma, you would be particularly vigilant for elevations in which laboratory value?
- A. Sodium
- B. Calcium
- C. Potassium
- D. Hematocrit
Correct Answer: B
Rationale: Osteogenic sarcoma, a bone cancer, often triggers hypercalcemia bone destruction releases calcium into blood, risking arrhythmias or kidney damage, a life-threatening shift demanding close watch. Sodium and potassium imbalances aren't bone-specific, more tied to general metabolism or treatment side effects. Hematocrit reflects anemia, common in cancer but not osteogenic sarcoma's hallmark. Calcium's spike, linked to osteolysis, makes it the nurse's focus elevations signal tumor activity or progression, prompting urgent interventions like fluids or bisphosphonates, a vigilance rooted in this cancer's skeletal impact and metabolic havoc.
In which ethnic group are people over 35 years advised to have their blood glucose levels checked because of the risk of type 2 diabetes?
- A. Creoles
- B. Hindu
- C. Moroccans
- D. Turks
Correct Answer: B
Rationale: Hindus over 35 South Asian risk rockets type 2, outpacing others' odds. Nurses screen this, a chronic ethnic flag.
Pulmonary rehabilitation is one of the most effective interventions in the management of COPD. The primary goals of this program are to:
- A. Ensure the patient eats appropriately, takes their medication as prescribed and exercises every day
- B. Involve the patient in the multidisciplinary team and knows how to manage their condition
- C. Reduce symptoms, improved QOL, increase physical and emotional participation in everyday life
- D. Prevent deterioration, avoid hospitalisation and support the carers
Correct Answer: C
Rationale: Pulmonary rehab reclaims COPD life less wheeze, better QOL, more daily grit, physical and emotional. Diet-meds-exercise is narrow; team play's a means; prevention's a perk, not core. Nurses drive this, a chronic lift.
What is the conventional definition of Microalbuminuria?
- A. Albumin excretion between 60 and 600 mg/24 hours
- B. Albumin excretion between 50 and 500 mg/24 hours
- C. Albumin excretion between 40 and 400 mg/24 hours
- D. Albumin excretion between 30 and 300 mg/24 hours
Correct Answer: D
Rationale: Microalbuminuria flags early kidney damage 30 to 300 mg/24 hours of albumin marks it, a standard tying subtle leaks to diabetes or hypertension's renal hit. Wider ranges 60-600, 50-500, 40-400 overreach into overt proteinuria; 20-200 dips too low, missing the threshold. This 30-300 zone signals preclinical harm, urging ACE inhibitors or tighter glucose/BP control, a chronic disease marker clinicians lean on to stall progression, precise yet practical.
A client has a platelet count of 9800/mm^3. What action by the nurse is most appropriate?
- A. Assess the client for calf pain, warmth, and redness.
- B. Instruct the client to call for help to get out of bed.
- C. Obtain cultures as per the facility's standing policy.
- D. Place the client on protective isolation precautions.
Correct Answer: B
Rationale: A platelet count of 9800/mm^3 is severely low (normal is 150,000-450,000/mm^3), indicating thrombocytopenia, a common chemotherapy side effect that heightens bleeding risk. The most appropriate action is instructing the client to call for help before getting out of bed to prevent falls or injuries that could trigger uncontrolled bleeding, such as intracranial hemorrhage. Assessing for calf pain, warmth, and redness checks for thrombosis, which is unrelated to low platelets thrombosis risk rises with high counts. Obtaining cultures relates to infection, tied to low white cells, not platelets. Protective isolation is for neutropenia, not thrombocytopenia. This safety-focused intervention minimizes physical risk, crucial in oncology where low platelets demand proactive prevention to avoid life-threatening bleeds, empowering the client while ensuring nurse oversight.