A client is diagnosed with stage I cancer of the prostate. The nurse interprets this as indicating which of the following?

Tumor is confined to the prostate gland.

Tumor has expanded to the bladder.

Cancer is small with no symptoms.

Tumor has spread beyond the prostate.

Answer and Explanation

The Correct Answer is A

The tumor is confined to the prostate gland. Stage I prostate cancer means that the tumor is localized to the prostate gland and has not spread to other parts of the body.

B: This option is incorrect because it indicates that the tumor has expanded to the bladder, which is not indicative of stage I prostate cancer.

C: This option is partially correct, but it does not provide a complete picture of stage I prostate cancer.

D: This option is incorrect because it indicates that the tumor has spread beyond the prostate, which is not indicative of stage I prostate cancer.

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Correct Answer is A

Explanation

Giving non-prescription laxatives to a client with cirrhosis can cause severe dehydration and electrolyte imbalances, which can be life-threatening. The nurse should report this intervention immediately to the physician.

Choice B is incorrect because measuring abdominal girth is a standard nursing intervention for clients with cirrhosis to assess for ascites.

Choice C is incorrect because asking the client about food intake is a standard nursing intervention for assessing nutritional status.

Choice D is incorrect because checking for signs of hepatic encephalopathy is a standard nursing intervention for clients with cirrhosis.

A. Provide instruction on blood-thinning medication. B. Assess the client for the ability to ambulate independently. C. Include the client in planning care and setting goals. D. Praise the client when using adaptive equipment.

Correct Answer is B

Explanation

Assess the client for the ability to ambulate independently. The highest priority nursing intervention for a client admitted to a neurologic rehabilitation unit following a cerebrovascular accident is to assess the client's ability to ambulate independently. This assessment will help the nurse determine the level of assistance required and develop an appropriate care plan.

Option A. Providing instruction on blood-thinning medication is not the highest priority as it can be done later when the client's ambulation status is stable.

Option C. Including the client in the planning of care and setting of goals is important but not the highest priority in this situation as it can be done after assessing the client's ambulation status.

Option D. Praise the client when using adaptive equipment, is not the highest priority as the client's ambulation status is more important at this point.

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A client is diagnosed with stage I cancer of the prostate. The nurse interprets this as indicating which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While performing a physical examination on a client with cirrhosis, which of the following interventions should the nurse report immediately to the physician?

Correct Answer is A

Explanation

The nurse is planning care for a client admitted to the neurologic rehabilitation unit following a cerebrovascular accident. Which nursing intervention would be of the highest priority?

Correct Answer is B

Explanation

The nurse is talking with a group of clients that are older than age 50 years about the recognition of colon cancer to access early intervention. What should the nurse inform the clients to report immediately to their primary care provider?

A client is admitted for evaluation of cerebral aneurysm. Which assessment finding is of greatest importance in prioritizing nursing care to this client?

Following a serious thermal burn, which complication will the nurse take action to prevent first?

Which of the following conditions is the cause of gout?

A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

A client with increased intracranial pressure is receiving mannitol via intravenous infusion. Which assessment finding is most important in determining the effectiveness of this treatment?

The nurse is caring for a client with a degenerative joint disorder and is providing education about different medications that may be used to help the disorder. The nurse provides education for (SATA):.