A 68-year-old male patient is admitted to the inpatient floor with reports of a UTI, urinary retention, and nocturia. The patient has chronic conditions including chronic cystitis and nicotine dependence. Microscopic urinalysis results show evidence of malignant epithelial cells. The patient is scheduled for transurethral resection the next day
Which condition is being described?
Bladder cancer
Bladder adenoma
Renal cell carcinoma
Renal epithelial cell cancer
The Correct Answer is A
A. Bladder cancer: The presence of malignant epithelial cells in the urinalysis and the scheduled transurethral resection are indicative of bladder cancer. Bladder cancer often presents with symptoms such as urinary retention, nocturia, and chronic cystitis, especially in older adults and those with risk factors like nicotine dependence.
B. Bladder adenoma: This is less common and typically benign, not associated with malignant epithelial cells.
C. Renal cell carcinoma: This affects the kidneys, not the bladder.
D. Renal epithelial cell cancer: This term is less specific and typically refers to cancers of the renal parenchyma, not the bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","F"]
Explanation
A. Respiration: Respiration issues are more relevant to respiratory disorders, while indigestion (dyspepsia) is directly related to GI disorders.
B. Swallowing difficulties (dysphagia) are a common symptom in GI disorders, indicating issues such as esophageal stricture, achalasia, or GERD.
C. Pain in the extremities is not typically associated with GI disorders; it is more relevant to musculoskeletal or neurological conditions.
D. Sleep disruption: While sleep disruption can occur with GI disorders, it is not a primary symptom to be questioned. Other symptoms like swallowing issues or indigestion are more directly related.
E. Family history: A family history of GI disorders can provide valuable information about hereditary conditions like Crohn’s disease, ulcerative colitis, or colorectal cancer.
F. Indigestion, or dyspepsia, is a common symptom of GI disorders. It includes discomfort or pain in the upper abdomen, bloating, and nausea, which are directly related to the GI system.
Correct Answer is D
Explanation
A. Cells that release histamine during the inflammatory response: These are mast cells, not phagocytic cells.
B. Cells in the immune system with four-part receptors shaped like a Y: This describes antibodies, specifically immunoglobulins, not phagocytic cells.
C. Cells in the immune system with two chains:This could refer to certain immune cells like T-cell receptors, but it does not specifically describe phagocytic cells.
D. Cells that eat pathogens and destroy them: Phagocytic cells, such as macrophages and neutrophils, engulf and digest pathogens as part of the immune response.
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