Nokea
Which symptom suggests bladder cancer recurrence?
- A. Painful urination.
- B. Frequent urination.
- C. Hematuria.
- D. Nocturia.
Correct Answer: C
Rationale: Hematuria is a common sign of bladder cancer recurrence.
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Which of the following increases the risk of having a large abdominal aortic aneurysm rupture?
- A. Anemia
- B. Dehydration
- C. High blood pressure
- D. Hyperglycemia
Correct Answer: C
Rationale: High blood pressure increases wall stress in a large abdominal aortic aneurysm, elevating the risk of rupture per Laplace's law (wall tension ˆ pressure × radius). Anemia, dehydration, and hyperglycemia do not directly increase rupture risk.
The nurse is gathering supplies for a transfusion of packed red blood cells (PRBCs). The nurse should obtain which intravenous (IV) fluid to accompany this transfusion?
- A. Lactated Ringers (LR)
- B. 0.9% saline
- C. 0.45% saline
- D. 3% saline
Correct Answer: B
Rationale: 0.9% saline is the only IV fluid compatible with PRBC transfusions, as it does not cause hemolysis or clotting. Lactated Ringer’s, 0.45% saline, and 3% saline can cause red blood cell damage or electrolyte imbalances, making them unsuitable.
A client is scheduled for a renal ultrasound. The nurse explains that:
- A. Contrast dye is used.
- B. No preparation is needed.
- C. Fasting is required.
- D. A sedative is given.
Correct Answer: B
Rationale: Renal ultrasound is non-invasive and requires no special preparation.
In which of the following clients is an autotransfusion contraindicated?
- A. The client who has cancer.
- B. The client who is in danger of cardiac arrest.
- C. The client with a contaminated wound.
- D. The client with a ruptured bowel.
Correct Answer: A,C,D
Rationale: Autotransfusion is contraindicated in cancer (risk of spreading malignant cells), contaminated wounds, or ruptured bowel (risk of infection or bacterial spread). It may be used cautiously in cardiac arrest if no other contraindications exist.
The client who had a permanent pacemaker implanted 2 days earlier is being discharged from the hospital. The client understands the discharge plan when the client:
- A. Selects a low-cholesterol diet to control coronary artery disease.
- B. States a need for bed rest for 1 week after discharge.
- C. Verbalizes safety precautions needed to prevent pacemaker malfunction.
- D. Explains signs and symptoms of myocardial infarction (MI).
Correct Answer: C
Rationale: Understanding safety precautions (e.g., avoiding strong electromagnetic fields) prevents pacemaker malfunction, indicating discharge plan comprehension.