Question 1

A nurse is screening a client for prostate cancer.Which assessment findings would cause the nurse to suspect that the client has prostate cancer? Select all that apply.

Accepted Answer

A) Unfortunately, many clients with prostate cancer remain undiagnosed until the cancer is well established. Hematuria, back pain, bilateral lower extremity weakness, and fatigue are symptoms associated with prostate cancer.
B) Unfortunately, many clients with prostate cancer remain undiagnosed until the cancer is well established. Hematuria, back pain, bilateral lower extremity weakness, and fatigue are symptoms associated with prostate cancer.
C) Unfortunately, many clients with prostate cancer remain undiagnosed until the cancer is well established. Hematuria, back pain, bilateral lower extremity weakness, and fatigue are symptoms associated with prostate cancer.
D) Unfortunately, many clients with prostate cancer remain undiagnosed until the cancer is well established. Hematuria, back pain, bilateral lower extremity weakness, and fatigue are symptoms associated with prostate cancer.
E) Unfortunately, many clients with prostate cancer remain undiagnosed until the cancer is well established. Hematuria, back pain, bilateral lower extremity weakness, and fatigue are symptoms associated with prostate cancer.

Question 2

A client is admitted to the emergency department in a sickle cell crisis.The nurse assesses the client and documents the following clinical findings: temperature 102°F,O₂ saturation of 89%,and complaints of severe abdominal pain.Based on the assessment findings,which intervention is the greatest priority?

Accepted Answer

A) Hypoxia is often the cause of a sickle cell crisis from the clumping of damaged RBCs, which creates an obstruction and hypoxia distal to the clumping. Administering the oxygen will improve the pain and increase the oxygen saturation of body tissues. Therefore, applying the oxygen should be the first action by the nurse. Although the temperature is elevated, and will increase oxygen demands in the body by increased basal metabolic activity, administering Tylenol is not the first action the nurse should take, because a sickle cell crisis is caused by oxygen deprivation in tissues, not by the fever. Morphine sulfate is a narcotic for pain, but it should be given after the oxygen is started, since the symptoms are caused by hypoxia. The morphine will decrease the pain and decrease metabolic oxygen needs by decreasing basal metabolic rates; therefore, supply is increased and demand is increased. Full body assessment, including peripheral pulses, is significant to identify the location of the potential obstruction, but this is secondary to treating the hypoxia that is known to be present from the sickling of the cells during sickle cell crisis.
B) Hypoxia is often the cause of a sickle cell crisis from the clumping of damaged RBCs, which creates an obstruction and hypoxia distal to the clumping. Administering the oxygen will improve the pain and increase the oxygen saturation of body tissues. Therefore, applying the oxygen should be the first action by the nurse. Although the temperature is elevated, and will increase oxygen demands in the body by increased basal metabolic activity, administering Tylenol is not the first action the nurse should take, because a sickle cell crisis is caused by oxygen deprivation in tissues, not by the fever. Morphine sulfate is a narcotic for pain, but it should be given after the oxygen is started, since the symptoms are caused by hypoxia. The morphine will decrease the pain and decrease metabolic oxygen needs by decreasing basal metabolic rates; therefore, supply is increased and demand is increased. Full body assessment, including peripheral pulses, is significant to identify the location of the potential obstruction, but this is secondary to treating the hypoxia that is known to be present from the sickling of the cells during sickle cell crisis.
C) Hypoxia is often the cause of a sickle cell crisis from the clumping of damaged RBCs, which creates an obstruction and hypoxia distal to the clumping. Administering the oxygen will improve the pain and increase the oxygen saturation of body tissues. Therefore, applying the oxygen should be the first action by the nurse. Although the temperature is elevated, and will increase oxygen demands in the body by increased basal metabolic activity, administering Tylenol is not the first action the nurse should take, because a sickle cell crisis is caused by oxygen deprivation in tissues, not by the fever. Morphine sulfate is a narcotic for pain, but it should be given after the oxygen is started, since the symptoms are caused by hypoxia. The morphine will decrease the pain and decrease metabolic oxygen needs by decreasing basal metabolic rates; therefore, supply is increased and demand is increased. Full body assessment, including peripheral pulses, is significant to identify the location of the potential obstruction, but this is secondary to treating the hypoxia that is known to be present from the sickling of the cells during sickle cell crisis.
D) Hypoxia is often the cause of a sickle cell crisis from the clumping of damaged RBCs, which creates an obstruction and hypoxia distal to the clumping. Administering the oxygen will improve the pain and increase the oxygen saturation of body tissues. Therefore, applying the oxygen should be the first action by the nurse. Although the temperature is elevated, and will increase oxygen demands in the body by increased basal metabolic activity, administering Tylenol is not the first action the nurse should take, because a sickle cell crisis is caused by oxygen deprivation in tissues, not by the fever. Morphine sulfate is a narcotic for pain, but it should be given after the oxygen is started, since the symptoms are caused by hypoxia. The morphine will decrease the pain and decrease metabolic oxygen needs by decreasing basal metabolic rates; therefore, supply is increased and demand is increased. Full body assessment, including peripheral pulses, is significant to identify the location of the potential obstruction, but this is secondary to treating the hypoxia that is known to be present from the sickling of the cells during sickle cell crisis.

Question 3

The nurse is planning care for a client scheduled for a prostatectomy.The client's spouse wants to know if the client will have any limitations after the surgery.Which diagnoses should the nurse use to plan this client's care? Select all that apply.

Accepted Answer

A) Following a prostatectomy, the client is most at risk for pain, sexual dysfunction, and urinary stress incontinence. There is no reason to suspect that this client is at risk for constipation or falls.
B) Following a prostatectomy, the client is most at risk for pain, sexual dysfunction, and urinary stress incontinence. There is no reason to suspect that this client is at risk for constipation or falls.
C) Following a prostatectomy, the client is most at risk for pain, sexual dysfunction, and urinary stress incontinence. There is no reason to suspect that this client is at risk for constipation or falls.
D) Following a prostatectomy, the client is most at risk for pain, sexual dysfunction, and urinary stress incontinence. There is no reason to suspect that this client is at risk for constipation or falls.
E) Following a prostatectomy, the client is most at risk for pain, sexual dysfunction, and urinary stress incontinence. There is no reason to suspect that this client is at risk for constipation or falls.

Question 4

A nursing instructor is teaching a group of student nurses about the cultural implications of prostate cancer.Which statement will the nursing instructor include?

Accepted Answer

A) African-Americans have the highest incidence of prostate cancer in the United States and the world, with rates greater than 60% higher than those seen in Whites. Asian- and Native American men have the lowest risk for prostate cancer. Approximately one in eight men ages 70 and older will be diagnosed with prostate cancer. A diet high in dairy increases a man's risk for developing prostate cancer.
B) African-Americans have the highest incidence of prostate cancer in the United States and the world, with rates greater than 60% higher than those seen in Whites. Asian- and Native American men have the lowest risk for prostate cancer. Approximately one in eight men ages 70 and older will be diagnosed with prostate cancer. A diet high in dairy increases a man's risk for developing prostate cancer.
C) African-Americans have the highest incidence of prostate cancer in the United States and the world, with rates greater than 60% higher than those seen in Whites. Asian- and Native American men have the lowest risk for prostate cancer. Approximately one in eight men ages 70 and older will be diagnosed with prostate cancer. A diet high in dairy increases a man's risk for developing prostate cancer.
D) African-Americans have the highest incidence of prostate cancer in the United States and the world, with rates greater than 60% higher than those seen in Whites. Asian- and Native American men have the lowest risk for prostate cancer. Approximately one in eight men ages 70 and older will be diagnosed with prostate cancer. A diet high in dairy increases a man's risk for developing prostate cancer.

Question 5

The nurse is assessing a client for symptoms of prostate cancer.Which symptoms would indicate the client is experiencing an enlarged prostate? Select all that apply.

Accepted Answer

A) Symptoms of an enlarged prostate include hematuria, dysuria, reduction in urinary stream, nocturia, frequency of urination, and abnormal size of prostate on digital exam. The other choices are nerve impingement or metastatic symptoms.
B) Symptoms of an enlarged prostate include hematuria, dysuria, reduction in urinary stream, nocturia, frequency of urination, and abnormal size of prostate on digital exam. The other choices are nerve impingement or metastatic symptoms.
C) Symptoms of an enlarged prostate include hematuria, dysuria, reduction in urinary stream, nocturia, frequency of urination, and abnormal size of prostate on digital exam. The other choices are nerve impingement or metastatic symptoms.
D) Symptoms of an enlarged prostate include hematuria, dysuria, reduction in urinary stream, nocturia, frequency of urination, and abnormal size of prostate on digital exam. The other choices are nerve impingement or metastatic symptoms.
E) Symptoms of an enlarged prostate include hematuria, dysuria, reduction in urinary stream, nocturia, frequency of urination, and abnormal size of prostate on digital exam. The other choices are nerve impingement or metastatic symptoms.

Question 6

While receiving discharge teaching,an adult client recovering from a prostatectomy is distressed to learn that episodes of incontinence may occur.Which should the nurse teach the client to help minimize incontinence?

Accepted Answer

A) Urinary incontinence after surgery is not unexpected. Teaching the client Kegel exercises is the best way to help him eliminate or reduce occasions of stress incontinence. Restricting fluids may cause further urinary problems and is not advised. Medication and Foley catheters are not appropriate long-term treatments for this complication.
B) Urinary incontinence after surgery is not unexpected. Teaching the client Kegel exercises is the best way to help him eliminate or reduce occasions of stress incontinence. Restricting fluids may cause further urinary problems and is not advised. Medication and Foley catheters are not appropriate long-term treatments for this complication.
C) Urinary incontinence after surgery is not unexpected. Teaching the client Kegel exercises is the best way to help him eliminate or reduce occasions of stress incontinence. Restricting fluids may cause further urinary problems and is not advised. Medication and Foley catheters are not appropriate long-term treatments for this complication.
D) Urinary incontinence after surgery is not unexpected. Teaching the client Kegel exercises is the best way to help him eliminate or reduce occasions of stress incontinence. Restricting fluids may cause further urinary problems and is not advised. Medication and Foley catheters are not appropriate long-term treatments for this complication.

Question 7

The nurse is caring for a client who was admitted to a medical-surgical unit in a sickle cell crisis.Which medication should the nurse expect to administer to this client?

Accepted Answer

A) Hydroxyurea decreases production of abnormal blood cells and leads to a lesser amount of pain being experienced. Meperidine is not used for pain control for client in sickle cell crisis, because it can cause seizures. Acetaminophen or ibuprofen is used for mild pain, and would not be effective for the severe pain experienced by a client in sickle cell pain crisis.
B) Hydroxyurea decreases production of abnormal blood cells and leads to a lesser amount of pain being experienced. Meperidine is not used for pain control for client in sickle cell crisis, because it can cause seizures. Acetaminophen or ibuprofen is used for mild pain, and would not be effective for the severe pain experienced by a client in sickle cell pain crisis.
C) Hydroxyurea decreases production of abnormal blood cells and leads to a lesser amount of pain being experienced. Meperidine is not used for pain control for client in sickle cell crisis, because it can cause seizures. Acetaminophen or ibuprofen is used for mild pain, and would not be effective for the severe pain experienced by a client in sickle cell pain crisis.
D) Hydroxyurea decreases production of abnormal blood cells and leads to a lesser amount of pain being experienced. Meperidine is not used for pain control for client in sickle cell crisis, because it can cause seizures. Acetaminophen or ibuprofen is used for mild pain, and would not be effective for the severe pain experienced by a child in sickle cell pain crisis.

Question 8

The nurse is planning care for a young child who is admitted with sickle cell crisis.The parents are with the child,and neither has much information about the disease.When planning care for this family,the nurse will set which goal with this family?

Accepted Answer

A) For the client with sickle cell disease, dehydration can lead to life-threatening consequences. The client's oral intake should be adjusted as necessary to keep the child well hydrated. Teach clients and parents how to monitor intake and output, and provide client teaching regarding fluid management. Playing outdoors in the sun can lead to dehydration, which can precipitate a crisis. Oxygen supply at high altitudes is too low for the client with sickle cell disease. The family should be taught to select low-altitude areas for vacation. Infection and illnesses with fever will increase the body's demand for oxygen, so it is important for the family to keep up with the child's immunization schedule.
B) For the client with sickle cell disease, dehydration can lead to life-threatening consequences. The client's oral intake should be adjusted as necessary to keep the child well hydrated. Teach clients and parents how to monitor intake and output, and provide client teaching regarding fluid management. Playing outdoors in the sun can lead to dehydration, which can precipitate a crisis. Oxygen supply at high altitudes is too low for the client with sickle cell disease. The family should be taught to select low-altitude areas for vacation. Infection and illnesses with fever will increase the body's demand for oxygen, so it is important for the family to keep up with the child's immunization schedule.
C) For the client with sickle cell disease, dehydration can lead to life-threatening consequences. The client's oral intake should be adjusted as necessary to keep the child well hydrated. Teach clients and parents how to monitor intake and output, and provide client teaching regarding fluid management. Playing outdoors in the sun can lead to dehydration, which can precipitate a crisis. Oxygen supply at high altitudes is too low for the client with sickle cell disease. The family should be taught to select low-altitude areas for vacation. Infection and illnesses with fever will increase the body's demand for oxygen, so it is important for the family to keep up with the child's immunization schedule.
D) For the client with sickle cell disease, dehydration can lead to life-threatening consequences. The client's oral intake should be adjusted as necessary to keep the child well hydrated. Teach clients and parents how to monitor intake and output, and provide client teaching regarding fluid management. Playing outdoors in the sun can lead to dehydration, which can precipitate a crisis. Oxygen supply at high altitudes is too low for the client with sickle cell disease. The family should be taught to select low-altitude areas for vacation. Infection and illnesses with fever will increase the body's demand for oxygen, so it is important for the family to keep up with the child's immunization schedule.

Question 9

The nurse is preparing an educational program on risk factors for the development of prostate cancer.Which information will the nurse include as being the greatest risk factor for developing prostate cancer?

Accepted Answer

A) The greatest risk for developing prostate cancer is age. Prostate cancer affects one out of every eight men over the age of 60. Genetics, vasectomy, and a diet high in fat are also risk factors.
B) The greatest risk for developing prostate cancer is age. Prostate cancer affects one out of every eight men over the age of 60. Genetics, vasectomy, and a diet high in fat are also risk factors.
C) The greatest risk for developing prostate cancer is age. Prostate cancer affects one out of every eight men over the age of 60. Genetics, vasectomy, and a diet high in fat are also risk factors.
D) The greatest risk for developing prostate cancer is age. Prostate cancer affects one out of every eight men over the age of 60. Genetics, vasectomy, and a diet high in fat are also risk factors.

Question 10

Parents of a newborn infant are concerned that their baby may have sickle cell disease.The nurse reviews the medical record and finds that both parents have the sickle cell trait.Which is the best response for the nurse to give the parents?

Accepted Answer

A) Sickle cell disease is an autosomal recessive disorder. Both parents must have the trait in order for a child to have a 25% chance of having this disease. The most appropriate response by the nurse is to tell the parents the baby will be tested for the disease.
B) Sickle cell disease is an autosomal recessive disorder. Both parents must have the trait in order for a child to have a 25% chance of having this disease. The most appropriate response by the nurse is to tell the parents the baby will be tested for the disease.
C) Sickle cell disease is an autosomal recessive disorder. Both parents must have the trait in order for a child to have a 25% chance of having this disease. The most appropriate response by the nurse is to tell the parents the baby will be tested for the disease.
D) Sickle cell disease is an autosomal recessive disorder. Both parents must have the trait in order for a child to have a 25% chance of having this disease. The most appropriate response by the nurse is to tell the parents the baby will be tested for the disease.

Question 11

The nurse is assigned to care for a child with sickle cell disease who is being admitted with splenic sequestration crisis.Which room would be the most appropriate for this child?

Accepted Answer

A) Splenic sequestration can be life-threatening, and there is profound anemia. The child should not be placed in a room with any child who might have an infectious illness. A private room is appropriate for this child. The child should not be exposed to other children with potentially infectious illnesses, so a semi-private room is not appropriate. The child is not contagious; therefore, neither airborne nor contact isolation is necessary.
B) Splenic sequestration can be life-threatening, and there is profound anemia. The child should not be placed in a room with any child who might have an infectious illness. A private room is appropriate for this child. The child should not be exposed to other children with potentially infectious illnesses, so a semi-private room is not appropriate. The child is not contagious; therefore, neither airborne nor contact isolation is necessary.
C) Splenic sequestration can be life-threatening, and there is profound anemia. The child should not be placed in a room with any child who might have an infectious illness. A private room is appropriate for this child. The child should not be exposed to other children with potentially infectious illnesses, so a semi-private room is not appropriate. The child is not contagious; therefore, neither airborne nor contact isolation is necessary.
D) Splenic sequestration can be life-threatening, and there is profound anemia. The child should not be placed in a room with any child who might have an infectious illness. A private room is appropriate for this child. The child should not be exposed to other children with potentially infectious illnesses, so a semi-private room is not appropriate. The child is not contagious; therefore, neither airborne nor contact isolation is necessary.

Question 12

A client in sickle cell crisis reports taking a recent skiing trip that caused a respiratory infection from the cold weather.The client reports a pain level of 8 on a pain scale from 0 to 10.Which nursing diagnosis is a priority for this client?

Accepted Answer

A) The priority for this client would be pain. The client has reportedly been skiing, which would be in an area of high altitude, which is contraindicated for someone with sickle cell. This client appears to have a knowledge deficit about self-care. This diagnosis, however, does not take priority. There is no evidence from the information given that the client has fluid volume excess or is at risk for self-mutilation.
B) The priority for this client would be pain. The client has reportedly been skiing, which would be in an area of high altitude, which is contraindicated for someone with sickle cell. This client appears to have a knowledge deficit about self-care. This diagnosis, however, does not take priority. There is no evidence from the information given that the client has fluid volume excess or is at risk for self-mutilation.
C) The priority for this client would be pain. The client has reportedly been skiing, which would be in an area of high altitude, which is contraindicated for someone with sickle cell. This client appears to have a knowledge deficit about self-care. This diagnosis, however, does not take priority. There is no evidence from the information given that the client has fluid volume excess or is at risk for self-mutilation.
D) The priority for this client would be pain. The client has reportedly been skiing, which would be in an area of high altitude, which is contraindicated for someone with sickle cell. This client appears to have a knowledge deficit about self-care. This diagnosis, however, does not take priority. There is no evidence from the information given that the client has fluid volume excess or is at risk for self-mutilation.

Question 13

The nurse is providing care to a client who is receiving treatment for sickle cell disease.The client is at risk for infection.Which medication does the nurse expect to administer to this client?

Accepted Answer

A) Prophylactic penicillin is often prescribed to clients who are diagnosed with sickle cell disease due to the increased risk for infection. Morphine and acetaminophen may be given for the pain the client experiences during a sickle cell crisis. Tamoxifen is a medication used to treat breast cancer.
B) Prophylactic penicillin is often prescribed to clients who are diagnosed with sickle cell disease due to the increased risk for infection. Morphine and acetaminophen may be given for the pain the client experiences during a sickle cell crisis. Tamoxifen is a medication used to treat breast cancer.
C) Prophylactic penicillin is often prescribed to clients who are diagnosed with sickle cell disease due to the increased risk for infection. Morphine and acetaminophen may be given for the pain the client experiences during a sickle cell crisis. Tamoxifen is a medication used to treat breast cancer.
D) Prophylactic penicillin is often prescribed to clients who are diagnosed with sickle cell disease due to the increased risk for infection. Morphine and acetaminophen may be given for the pain the client experiences during a sickle cell crisis. Tamoxifen is a medication used to treat breast cancer.

Question 14

A pediatric nurse is educating the client with sickle cell disease and the client's family regarding the genetic implications of the disease.Which information is inappropriate for the nurse to share with the client's family?

Accepted Answer

A) In educating the client and the client's parents regarding sickle cell disease, the nurse will state that the disorder is transmitted as an autosomal recessive genetic defect. If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 25%, not 50%. The sickle cell gene may have originated to protect against lethal forms of malaria. In African-Americans, sickle cell disease occurs in 1 out of every 500 births.
B) In educating the client and the client's parents regarding sickle cell disease, the nurse will state that the disorder is transmitted as an autosomal recessive genetic defect. If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 25%, not 50%. The sickle cell gene may have originated to protect against lethal forms of malaria. In African-Americans, sickle cell disease occurs in 1 out of every 500 births.
C) In educating the client and the client's parents regarding sickle cell disease, the nurse will state that the disorder is transmitted as an autosomal recessive genetic defect. If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 25%, not 50%. The sickle cell gene may have originated to protect against lethal forms of malaria. In African-Americans, sickle cell disease occurs in 1 out of every 500 births.
D) In educating the client and the client's parents regarding sickle cell disease, the nurse will state that the disorder is transmitted as an autosomal recessive genetic defect. If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 25%, not 50%. The sickle cell gene may have originated to protect against lethal forms of malaria. In African-Americans, sickle cell disease occurs in 1 out of every 500 births.

Question 15

The nursing is preparing to discharge a client recovering from prostate surgery for cancer.What should the nurse emphasize when teaching this client?

Accepted Answer

A) Blood in the urine is fairly common after surgery. The healing period after prostate surgery is 4-8 weeks, and the client should avoid strenuous activity during this time. Continued increase in fluid intake will help the urine to remain dilute and reduce the risk of clot formation. The client should not drive after surgery for at least 2 weeks.
B) Blood in the urine is fairly common after surgery. The healing period after prostate surgery is 4-8 weeks, and the client should avoid strenuous activity during this time. Continued increase in fluid intake will help the urine to remain dilute and reduce the risk of clot formation. The client should not drive after surgery for at least 2 weeks.
C) Blood in the urine is fairly common after surgery. The healing period after prostate surgery is 4-8 weeks, and the client should avoid strenuous activity during this time. Continued increase in fluid intake will help the urine to remain dilute and reduce the risk of clot formation. The client should not drive after surgery for at least 2 weeks.
D) Blood in the urine is fairly common after surgery. The healing period after prostate surgery is 4-8 weeks, and the client should avoid strenuous activity during this time. Continued increase in fluid intake will help the urine to remain dilute and reduce the risk of clot formation. The client should not drive after surgery for at least 2 weeks.

Question 16

The nurse is caring for a client who returns to the unit following transurethral resection of the prostate due to prostate cancer with a three-way Foley catheter in place.The client states that he has the urge to urinate and wants the catheter removed.The nurse knows that this feeling is caused by spasms.Which response by the nurse is the most appropriate?

Accepted Answer

A) Clients with a three-way Foley catheter usually complain of sensations of having to void despite the presence of the catheter. This urge to void is caused by the pressure exerted by the balloon in the internal sphincter of the bladder and the wide diameter of the catheter that is used for the purpose of irrigation. Antispasmodics may be prescribed for the client with a three-way irrigation catheter. Spasms are not a complication of the catheter but rather an expected finding. The procedure does invade the urethra. The substance that the catheter is made of does not affect spasms.
B) Clients with a three-way Foley catheter usually complain of sensations of having to void despite the presence of the catheter. This urge to void is caused by the pressure exerted by the balloon in the internal sphincter of the bladder and the wide diameter of the catheter that is used for the purpose of irrigation. Antispasmodics may be prescribed for the client with a three-way irrigation catheter. Spasms are not a complication of the catheter but rather an expected finding. The procedure does invade the urethra. The substance that the catheter is made of does not affect spasms.
C) Clients with a three-way Foley catheter usually complain of sensations of having to void despite the presence of the catheter. This urge to void is caused by the pressure exerted by the balloon in the internal sphincter of the bladder and the wide diameter of the catheter that is used for the purpose of irrigation. Antispasmodics may be prescribed for the client with a three-way irrigation catheter. Spasms are not a complication of the catheter but rather an expected finding. The procedure does invade the urethra. The substance that the catheter is made of does not affect spasms.
D) Clients with a three-way Foley catheter usually complain of sensations of having to void despite the presence of the catheter. This urge to void is caused by the pressure exerted by the balloon in the internal sphincter of the bladder and the wide diameter of the catheter that is used for the purpose of irrigation. Antispasmodics may be prescribed for the client with a three-way irrigation catheter. Spasms are not a complication of the catheter but rather an expected finding. The procedure does invade the urethra. The substance that the catheter is made of does not affect spasms.

Question 17

A client with prostate cancer is being discharged from the hospital.Which educational topic is inappropriate for this client?

Accepted Answer

A) When providing discharge instructions to the client with prostate cancer, the nurse will teach the client and his family noninvasive methods of pain control and stress the importance of keeping client appointments with healthcare providers. The nurse will also provide the client and his family information on support groups. The nurse does not have authorization to provide information on doses of complementary herbs.
B) When providing discharge instructions to the client with prostate cancer, the nurse will teach the client and his family noninvasive methods of pain control and stress the importance of keeping client appointments with healthcare providers. The nurse will also provide the client and his family information on support groups. The nurse does not have authorization to provide information on doses of complementary herbs.
C) When providing discharge instructions to the client with prostate cancer, the nurse will teach the client and his family noninvasive methods of pain control and stress the importance of keeping client appointments with healthcare providers. The nurse will also provide the client and his family information on support groups. The nurse does not have authorization to provide information on doses of complementary herbs.
D) When providing discharge instructions to the client with prostate cancer, the nurse will teach the client and his family noninvasive methods of pain control and stress the importance of keeping client appointments with healthcare providers. The nurse will also provide the client and his family information on support groups. The nurse does not have authorization to provide information on doses of complementary herbs.

Question 18

The nurse is caring for a client who has a continuous bladder irrigation running following a prostatectomy.During the shift,a total of 1500 mL of irrigant is infused.The Foley bag is emptied twice for the shift with totals of 850 mL and 950 mL.What is the client's actual urine output for the shift?

Accepted Answer

A) The total infused is 1500 mL. The total drained is 1800 mL. The total, or true output, is 300mL greater than the input.
B) The total infused is 1500 mL. The total drained is 1800 mL. The total, or true output, is 300mL greater than the input.
C) The total infused is 1500 mL. The total drained is 1800 mL. The total, or true output, is 300mL greater than the input.
D) The total infused is 1500 mL. The total drained is 1800 mL. The total, or true output, is 300mL greater than the input.

Question 19

A nurse educator is teaching a group of parents how to prevent a sickle cell crisis in the child with sickle cell disease.What should the nurse instruct about the precipitating factors that could contribute to a sickle cell crisis? Select all that apply.

Accepted Answer

A) Fever, vomiting, and altitude are some of the precipitating factors that contribute to a sickle cell crisis. Regular exercise and increased fluid intake are recommended activities for a child with sickle cell disease and will not contribute to a sickle cell crisis.
B) Fever, vomiting, and altitude are some of the precipitating factors that contribute to a sickle cell crisis. Regular exercise and increased fluid intake are recommended activities for a child with sickle cell disease and will not contribute to a sickle cell crisis.
C) Fever, vomiting, and altitude are some of the precipitating factors that contribute to a sickle cell crisis. Regular exercise and increased fluid intake are recommended activities for a child with sickle cell disease and will not contribute to a sickle cell crisis.
D) Fever, vomiting, and altitude are some of the precipitating factors that contribute to a sickle cell crisis. Regular exercise and increased fluid intake are recommended activities for a child with sickle cell disease and will not contribute to a sickle cell crisis.
E) Fever, vomiting, and altitude are some of the precipitating factors that contribute to a sickle cell crisis. Regular exercise and increased fluid intake are recommended activities for a child with sickle cell disease and will not contribute to a sickle cell crisis.

Question 20

A client is scheduled to undergo a prostate biopsy.The client asks the nurse what is expected immediately following the procedure.Which response by the nurse is the most appropriate?

Accepted Answer

A) The client may experience discomfort for 1-2 days after the procedure. Strenuous activity is avoided only for about 4 hours. The client must restrict activity for only a short period after the procedure. There is no need to notify sexual partners following the procedure.
B) The client may experience discomfort for 1-2 days after the procedure. Strenuous activity is avoided only for about 4 hours. The client must restrict activity for only a short period after the procedure. There is no need to notify sexual partners following the procedure.
C) The client may experience discomfort for 1-2 days after the procedure. Strenuous activity is avoided only for about 4 hours. The client must restrict activity for only a short period after the procedure. There is no need to notify sexual partners following the procedure.
D) The client may experience discomfort for 1-2 days after the procedure. Strenuous activity is avoided only for about 4 hours. The client must restrict activity for only a short period after the procedure. There is no need to notify sexual partners following the procedure.

Quiz 2: Cellular Regulation