Nokea
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.
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After the cystoscopy, which urinary symptom can the nurse expect the client to report?
- A. A sense of urgency
- B. No urinary output
- C. A strong urinary odor
- D. A large volume of urine output
Correct Answer: A
Rationale: A sense of urgency is common after cystoscopy due to urethral irritation from the procedure.
The nurse is teaching the female client diagnosed with tuberculosis of the urinary tract prior to discharge. Which information should the nurse include specific to this diagnosis?
- A. Instruct the client to take the medication with food.
- B. Explain condoms should be used during treatment.
- C. Discuss the need for follow-up chest x-rays.
- D. Encourage a well-balanced diet and fluid intake.
Correct Answer: B
Rationale: Urinary TB can spread to sexual partners, so condoms are recommended during treatment. Medication timing, chest x-rays (for pulmonary TB), and diet/fluids are general or less specific.
Which response by the nurse is best?
- A. Encourage the client to restrict fluid intake because it shows evidence of client cooperation.
- B. Encourage the client to restrict fluid intake because it leads to accomplishing the goal.
- C. Discourage the client from restricting fluid intake because it contributes to constipation.
- D. Discourage the client from restricting fluid intake because it potentiates fluid imbalance.
Correct Answer: D
Rationale: Restricting fluid intake can lead to dehydration and fluid imbalance, which can worsen health outcomes, so the nurse should discourage this action.
The client receiving hemodialysis is being discharged home from the dialysis center. Which instruction should the nurse teach the client?
- A. Notify the HCP if oral temperature is 102°F or greater.
- B. Apply ice to the access site if it starts bleeding at home.
- C. Keep fingernails short and try not to scratch the skin.
- D. Encourage the significant other to make decisions for the client.
Correct Answer: A
Rationale: A fever of 102°F or higher may indicate infection, a serious complication in hemodialysis patients, requiring prompt HCP notification. Ice may worsen bleeding, short nails are general advice, and encouraging dependency is not therapeutic.
The nurse is discussing how to prioritize care with the UAP. Which client should the nurse instruct the UAP to see first?
- A. The immobile client who needs sequential compression devices removed.
- B. The elderly woman who needs assistance ambulating to the bathroom.
- C. The surgical client who needs help changing the gown after bathing.
- D. The male client who needs the intravenous catheter discontinued.
Correct Answer: B
Rationale: Assisting an elderly woman to the bathroom prevents falls and addresses immediate elimination needs, prioritizing safety. Removing SCDs, changing gowns, and discontinuing IVs are less urgent.