A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate-specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?
Prostatic cancer
Colon cancer
Liver cancer
Breast cancer
The Correct Answer is A
Choice A reason: An increased prostate-specific antigen (PSA) level is primarily indicative of prostatic conditions, including prostate cancer. PSA is a protein produced by both normal and malignant cells of the prostate gland. Elevated PSA levels can be a sign of prostate cancer, benign prostatic hyperplasia (BPH), or prostatitis. It is an important marker used in the screening and monitoring of prostate cancer.
Choice B reason: Colon cancer does not typically result in elevated PSA levels. Instead, colon cancer is often associated with markers like carcinoembryonic antigen (CEA). PSA is specific to prostate tissue, and its elevation is not related to colon cancer.
Choice C reason: Liver cancer is not associated with increased PSA levels. Liver function tests, alpha-fetoprotein (AFP), and imaging studies are more relevant in the diagnosis and monitoring of liver cancer. PSA levels do not provide information about liver cancer.
Choice D reason: Breast cancer does not affect PSA levels. Breast cancer markers include CA 15-3, CA 27.29, and others specific to breast tissue. PSA is a prostate-specific marker and is not used in the context of breast cancer diagnosis or monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Cheddar cheese is high in fat, which can trigger pancreatitis flare-ups. People with pancreatitis are generally advised to follow a low-fat diet to avoid exacerbating their condition. Consuming high-fat foods like cheddar cheese can stimulate the pancreas to produce more digestive enzymes, which can lead to increased inflammation and pain.
Choice B reason: Vegetable soup, especially if it is broth-based and low in fat, is generally safe for individuals with pancreatitis. It provides essential nutrients without putting too much strain on the pancreas. However, it is essential to ensure that the soup does not contain any high-fat ingredients, such as cream or butter, which can aggravate the condition.
Choice C reason: Baked fish is typically a good choice for individuals with pancreatitis because it is low in fat and high in protein. The preparation method also matters; baking is a healthy cooking method that does not add extra fat to the dish. As long as the fish is not fried or cooked with high-fat sauces, it should be safe to consume.
Choice D reason: Noodles, particularly those made from refined flour, are generally low in fat and can be included in a pancreatitis-friendly diet. However, the overall meal should be balanced and low in fat to avoid triggering symptoms. Whole grain noodles might be a better option as they provide more fiber and nutrients.
Correct Answer is B
Explanation
Choice A reason: Renal function is not reestablished during the oliguric phase of acute kidney injury. This phase is characterized by significantly reduced urine output, indicating ongoing impaired kidney function.
Choice B reason: Urine output of less than 400 mL per 24 hours is a defining feature of the oliguric phase. This reduced output reflects the kidneys' inability to filter and excrete waste products effectively.
Choice C reason: BUN (Blood Urea Nitrogen) and creatinine levels do not decrease during the oliguric phase; they typically increase due to the kidneys' reduced ability to clear these waste products from the blood.
Choice D reason: The glomerular filtration rate (GFR) does not recover during the oliguric phase. This phase is marked by a decreased GFR, indicating poor kidney function.
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