A nurse is reviewing the history along with physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom?
Painless hematuria.
Frequency.
Urinary retention.
Fever.
The Correct Answer is A
Painless hematuria. Painless hematuria, the presence of blood in the urine without any accompanying pain, is the most common initial symptom of a malignant tumor of the bladder. Frequency, choice B, urinary retention, choice C, and fever, choice D, may also be associated with bladder cancer but are not typically the initial symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Radical excision. Treatment of melanoma includes surgical excision of the tumor with a margin of normal tissue to decrease the risk of recurrence. Radical excision involves the removal of the tumor, adjacent tissue, and possibly lymph nodes.
Option A, radiation therapy, may be used as an adjunct therapy, but it is not the primary treatment.
Option B, laser surgery, may be used to remove superficial lesions, but not for melanoma.
Option C, cryosurgery, is used to remove benign lesions or precancerous cells, but not for melanoma.
Correct Answer is D
Explanation
Radiographic confirmation. Radiographic confirmation is the most reliable method to verify the placement of nasogastric tubes, and it is considered the gold standard. The nurse should use it to confirm placement initially and periodically to ensure that the tube is in the stomach and not in the lungs or esophagus.
Option A, placing the end of the tube in water and observing for bubbling, is incorrect because it is not a reliable method, and it can cause aspiration or infection.
Option B, using the auscultation technique, is incorrect because it can lead to misinterpretation of bowel sounds, and it is not reliable.
Option C, measuring pH of aspirates, is incorrect because it is not a reliable method, and it can be affected by several factors, including medications, stress, and nutritional status.
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