The nurse is caring for a client who has prostate cancer. Which of the following manifestations does the nurse attribute to the advancing disease process?

Blood in the urine or semen

Anemia due to long-term bleeding

A dark-colored or elevated lesion

An enlarged liver or gallbladder

Answer and Explanation

The Correct Answer is A

Choice A reason:
Blood in the urine (hematuria) or semen (hematospermia) can be a sign of advanced prostate cancer. This symptom occurs when the cancer affects the urinary or reproductive tracts, causing bleeding. It is a direct result of the tumor invading nearby tissues or structures.

Choice B reason:
While anemia can be associated with chronic diseases like cancer, it is not a direct manifestation of the advancing disease process of prostate cancer. Anemia in cancer patients is often multifactorial, including chronic inflammation, nutritional deficiencies, or treatment-related side effects.

Choice C reason:
A dark-colored or elevated lesion is not typically associated with prostate cancer. Such lesions are more commonly related to skin cancers or other dermatological conditions.

Choice D reason:

An enlarged liver or gallbladder can be a sign of metastasis in advanced cancer cases, including prostate cancer. However, it is less specific than blood in the urine or semen and can be caused by a variety of other conditions.

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Correct Answer is C

Explanation

Choice A reason:
Bradycardia, which is a slower than normal heart rate, is not typically associated with diabetes insipidus. Diabetes insipidus primarily affects the kidneys and fluid balance in the body, leading to frequent urination and thirst but not directly affecting heart rate.

Choice B reason:
Moist mucous membranes are not expected in diabetes insipidus. In fact, due to excessive urination, a person with diabetes insipidus is more likely to experience dry mucous membranes from dehydration unless they are adequately hydrating.

Choice C reason:
Urine specific gravity 1.002 is a key finding in diabetes insipidus. This condition is characterized by the excretion of large amounts of dilute urine with low specific gravity. Normal urine specific gravity ranges from 1.005 to 1.030⁴. A value of 1.002 indicates very dilute urine, which is consistent with the inability of the kidneys to concentrate urine in diabetes insipidus.

Choice D reason:
Bounding peripheral pulses are not a finding associated with diabetes insipidus. Bounding pulses may be associated with other conditions such as fever, anemia, or hyperthyroidism but not typically with diabetes insipidus.

A. "Eating a high fiber diet will reduce my risk for developing skin cancer." B. "I should avoid the use of tanning booths." C. "I should use sunscreen even on cloudy days." D. "I should check my skin monthly for any changes."

Correct Answer is A

Explanation

Choice A reason:
The statement about eating a high fiber diet reducing the risk for developing skin cancer is misleading. While a high fiber diet has many health benefits, there is no direct evidence that it significantly reduces the risk of skin cancer. Skin cancer prevention primarily focuses on protecting the skin from excessive sun exposure and avoiding ultraviolet (UV) light sources.

Choice B reason:
Avoiding the use of tanning booths is correct advice. Tanning booths emit UV radiation, which can increase the risk of skin cancer, including melanoma, the deadliest form of skin cancer. The use of tanning beds is strongly discouraged by health professionals.

Choice C reason:
Using sunscreen even on cloudy days is also correct. UV rays can penetrate through clouds, and sun protection is necessary regardless of the weather to reduce the risk of skin cancer. Sunscreen should be applied to all exposed skin and reapplied regularly, especially after swimming or sweating.

Choice D reason:
Checking the skin monthly for any changes is an important part of skin cancer prevention. Early detection of changes in moles or new skin growths can lead to early diagnosis and treatment, which is crucial for a better prognosis. This practice should be encouraged as part of routine self-care.

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The nurse is caring for a client who has prostate cancer. Which of the following manifestations does the nurse attribute to the advancing disease process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory report of a client's most recent Pap smear that indicates moderately abnormal cervical cells were present. Based on the description of the cells, which of the following changes of precancerous cell growth to the client's cervix should the nurse identify?

A nurse is teaching a client who has genital herpes about the physiological effects of the infection. Which of the following statements by the client indicates that the teaching has been effective?

A nurse is caring for a client who has just returned from the Post-Anesthesia Care Unit (PACU) with an intravenous (IV) fluid infusion and a nasogastric (NG) tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply)

A nurse is teaching a group of teenage clients about the use of condoms for the prevention of sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?

A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse that the client's peristalsis is returning?

A nurse is caring for a client who has prostate cancer and has undergone a prostatectomy. Which of the following should the nurse understand as a potential complication of prostate surgery?