The nurse is teaching a client about early detection for penile cancer. The nurse knows the teaching is effective when the client states, "I will:
look at my scrotum for a painless ulcerated area with swelling."
examine my penis for a nodular or wart like growth."
call my doctor if I notice any penile discharge."
know I have cancer if my penis hurts while urinating."
The Correct Answer is B
A. This option is not the most relevant for penile cancer detection. While swelling and ulcerated areas may be associated with various conditions affecting the scrotum, they are not specifically indicators of penile cancer. Penile cancer is more typically associated with changes in the penis itself rather than the scrotum.
B. Early signs of penile cancer may include a nodular or wart-like growth on the penis, especially on the glans (head) or shaft. These growths can be painless, making regular self-examination important for early detection. This statement demonstrates an understanding of one of the key indicators of penile cancer.
C. While penile discharge can indicate various conditions, including infections or sexually transmitted diseases, it is not a specific sign of penile cancer. This response does not reflect a direct understanding of the early detection of penile cancer.
D. Pain during urination can be caused by many conditions, such as infections or urinary tract issues, and is not a definitive sign of penile cancer. Additionally, many cases of penile cancer may not present with pain at all, particularly in the early stages.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Renal cancer can often present with a palpable flank mass due to tumor growth. Hematuria (blood in the urine) is also a common finding in patients with kidney tumors and can result from bleeding within the renal system. Flank pain, especially in the context of renal cancer, often accompanies these findings.
B. Dark, tarry stools (melena) suggest gastrointestinal bleeding, which is not directly associated with renal cancer. Mental status changes could indicate various issues, such as metabolic imbalances or anemia, but they are not specific findings for renal cancer.
C. While patients with advanced cancer may experience shortness of breath due to metastasis to the lungs or other complications, chest pain is not a direct finding associated with renal cancer. These symptoms could indicate other issues, such as cardiac or pulmonary problems.
D. While urinary frequency can occur due to various urinary tract issues, it is not a classic symptom of renal cancer. Hypotension is also not a typical finding associated with renal cancer unless there is significant blood loss or other complications.
Correct Answer is D
Explanation
A. While it's true that ulcers can be a serious complication of PAD and require careful management, exercise is generally encouraged in patients with PAD as long as it is safe and supervised. Patients should consult their healthcare provider about appropriate exercise, but not exercising altogether can worsen their condition.
B. Buying shoes in the afternoon is advisable because feet can swell throughout the day. It helps ensure a better fit and reduces the risk of blisters or skin breakdown, which is particularly important for clients with PAD.
C. This statement is generally correct, as dangling the legs can help improve circulation in some cases. Clients with PAD often experience relief when their legs are in a dependent position, as it may help increase blood flow to the extremities. However, they should also be encouraged to avoid prolonged periods of sitting.
D. This statement may indicate a misunderstanding. Compression stockings are typically used for venous issues rather than arterial diseases like PAD. In patients with PAD, wearing compression stockings may not be appropriate and could potentially compromise arterial blood flow.
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