Pharmacology and the Nursing Process Test Bank Free Related

Review Pharmacology and the Nursing Process Test Bank Free related questions and content

The physician orders cystoscopy and random biopsies of the bladder for a client who reports painless hematuria. Test results reveal carcinoma in situ in several bladder regions. To treat bladder cancer, the client will have a series of intravesical instillations of bacillus Calmette-Guerin (BCG), administered 1 week apart. When teaching the client about BCG, the nurse should mention that this drug commonly causes:

  • A. Renal calculi
  • B. Delayed ejaculation
  • C. Hematuria
  • D. Impotence
Correct Answer: C

Rationale: The correct answer is C: Hematuria. Bacillus Calmette-Guerin (BCG) is a type of immunotherapy used to treat bladder cancer by stimulating the immune system to attack cancer cells. One common side effect of BCG instillations is hematuria, which is the presence of blood in the urine. This occurs because BCG irritates the bladder lining, leading to inflammation and bleeding. It is important for the nurse to educate the client about this potential side effect so they are aware and can report any excessive bleeding to their healthcare provider promptly.

Other choices are incorrect:
A: Renal calculi - BCG therapy is not known to cause renal calculi.
B: Delayed ejaculation - BCG therapy is not associated with delayed ejaculation.
D: Impotence - BCG therapy is not linked to impotence.