A nurse is creating a plan of care for prostate screening in high-risk populations. Which of the following is an important consideration?
Prostate cancer mortality is more than double for Black American males than for other groups.
Occupational toxic exposure among factory workers increases rates of prostate cancer.
Dietary factors can increase the risk of prostate cancer mortality by as much as 50%.
The best way to determine prostate cancer risk is to have a computed tomography scan.
The Correct Answer is A
Choice A rationale
Prostate cancer mortality is more than double for Black American males than for other groups. This is a significant consideration when creating a plan of care for prostate screening in high- risk populations. Black American males have a higher incidence and mortality rate of prostate cancer compared to other racial and ethnic groups. This disparity is attributed to a combination of genetic, socioeconomic, and healthcare access factors. Therefore, targeted screening and early detection efforts are crucial for this high-risk population to improve outcomes and reduce mortality rates.
Choice B rationale
Occupational toxic exposure among factory workers can increase the risk of various cancers, including prostate cancer. However, this is not the most important consideration when creating a plan of care for prostate screening in high-risk populations. While occupational exposure is a risk factor, it does not have the same level of impact on prostate cancer incidence and mortality as race and family history. Screening efforts should prioritize those with the highest risk, such as Black American males and individuals with a family history of prostate cancer.
Choice C rationale
Dietary factors can influence the risk of prostate cancer, but the impact is not as significant as other risk factors such as race and family history. While a healthy diet is important for overall health and may help reduce cancer risk, it is not the primary consideration for prostate screening in high-risk populations. Screening efforts should focus on those with the highest risk based on genetic and demographic factors, rather than dietary habits alone.
Choice D rationale
A computed tomography (CT) scan is not the best way to determine prostate cancer risk. The primary screening method for prostate cancer is the prostate-specific antigen (PSA) blood test, often combined with a digital rectal exam (DRE). CT scans are not typically used for initial screening but may be employed for further evaluation if there are abnormal findings on PSA or DRE. The focus should be on using established screening methods to identify high-risk individuals and provide early detection and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Packed RBCs are used to treat anemia or significant blood loss but are not specifically indicated for hemophilia A.
Choice B rationale
Fresh frozen plasma contains clotting factors but is not the preferred treatment for hemophilia A.
Choice C rationale
Prophylactic antibiotics are used to prevent infection but do not address the clotting deficiency in hemophilia A.
Choice D rationale
Recombinant factor VIII is the treatment of choice for individuals with hemophilia A. It replaces the deficient factor VIII in the blood, promoting clot formation and preventing excessive bleeding during surgical procedures.
Correct Answer is D
Explanation
Choice A rationale
A room that is within view of the nurses’ station is not suitable for a client with active tuberculosis. This placement does not provide the necessary isolation to prevent the spread of the infection to other patients and staff. Tuberculosis is an airborne disease, and the client needs to be in a room that minimizes the risk of airborne transmission.
Choice B rationale
A room with another nonsurgical client is also inappropriate for a client with active tuberculosis. Placing the client with another patient increases the risk of transmission of the infection. Tuberculosis requires strict airborne precautions, and the client should be in a private room with appropriate ventilation.
Choice C rationale
A room in the ICU is not necessary unless the client requires intensive care for other reasons. The primary concern for a client with active tuberculosis is to prevent the spread of the infection, which can be effectively managed in a regular medical-surgical unit with proper isolation measures.
Choice D rationale
A room with air exhaust directly to the outdoor environment is the correct choice. This type of room, often referred to as a negative pressure room, ensures that air from the room does not flow to other parts of the facility, thereby preventing the spread of infectious airborne particles. This setup is essential for managing clients with active tuberculosis.
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