You arrive for your 7 a.m. shift on the urology unit and the night nurse gives a report on the following patients who will be under your care. Which one would you see first?

Mr. Dominic, newly admitted for evaluation of bladder cancer.

Mr. Bradford is 3 days post-radical prostatectomy for invasive bladder cancer. His urine output overnight was 1200 mL of blood-tinged urine. He did not sleep well and ambulated twice overnight complaining of gas pains.

Mr. Jennings had a TURBT (transurethral resection of bladder tumor) yesterday. He is complaining of bladder spasms. He had 3000 mL of bladder irrigation in overnight and 2950 mL out.

Ms. Griffiths, who had a cystectomy for bladder cancer 3 years ago, was admitted via the ER overnight with a complaint of severe hip pain and anorexia. Her lab tests were normal with the exception of elevated liver enzymes. After an initial dose of Dilaudid 1 mg, she reports her pain as 2 on a 0 to 10 scale and has slept fitfully overnight.

Answer and Explanation

The Correct Answer is B

Choice A reason: Mr. Dominic's evaluation for bladder cancer is important, but there are no acute symptoms reported that require immediate attention over the other patients listed.
Choice B reason: Mr. Bradford's condition is the most concerning. He is 3 days post-radical prostatectomy with significant blood-tinged urine output and complaints of gas pains, which could indicate complications such as bleeding or infection that need immediate assessment.
Choice C reason: Mr. Jennings’ condition is stable with an almost equal in-and-out bladder irrigation, though bladder spasms should be addressed, it is not as immediately critical as Mr. Bradford's symptoms.
Choice D reason: Ms. Griffiths is stable with managed pain levels and normal lab results except for elevated liver enzymes, which do not present an immediate threat compared to Mr. Bradford's condition.

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Correct Answer is C

Explanation

Choice A reason: The use of a colostomy bag is expected following surgery for colorectal cancer that involves the creation of a stoma. This does not indicate a complication.
Choice B reason: A loss of appetite is common after major surgery and can be managed with nutritional support and gradual reintroduction of food.
Choice C reason: Absent bowel sounds in the lower abdominal quadrants could indicate a paralytic ileus or bowel obstruction, which are serious complications requiring immediate intervention to prevent further issues such as bowel ischemia.
Choice D reason: Mild pain at the surgical site is expected and can be managed with prescribed pain medications. It does not indicate a serious complication.

A. Portal of entry B. Infectious agent C. Susceptible host D. Reservoir

Correct Answer is A

Explanation

Choice A reason: The mouth serves as the portal of entry for hepatitis A when the virus is ingested through contaminated food or water. The portal of entry is the site through which the pathogen enters the body to initiate infection. In this case, consuming contaminated food allows the hepatitis A virus to enter the body through the mouth, leading to infection.
Choice B reason: The infectious agent is the pathogen responsible for causing the disease. In this scenario, the hepatitis A virus is the infectious agent. However, the question asks about the portal of entry, which is the mouth, not the infectious agent itself.
Choice C reason: A susceptible host is an individual who is vulnerable to infection due to factors like a weakened immune system or lack of prior immunity. While the client in the question is a susceptible host, the specific answer to the question is about the portal of entry, which is the mouth.
Choice D reason: The reservoir is the natural habitat or environment in which the pathogen lives and multiplies. For hepatitis A, common reservoirs include contaminated food and water. The reservoir is not the focus of this question; rather, it is asking about the portal of entry, which is the mouth.

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You arrive for your 7 a.m. shift on the urology unit and the night nurse gives a report on the following patients who will be under your care. Which one would you see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has colorectal cancer and is recovering from surgery to redirect intestinal contents out of the body. Which of the following post-surgical manifestations require nursing intervention to avoid a serious complication?

Correct Answer is C

Explanation

A nurse is caring for a client who acquired hepatitis A from consuming contaminated food. The client's mouth is an example of which of the following links in the chain of infection?

Correct Answer is A

Explanation

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?

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube. Which of the following statements should the nurse make?

A nurse is teaching a client who has hepatitis A. Which of the following information should the nurse include?

The nurse is involved in a health promotion program for teenagers related to the prevention of oral cancer. Which behaviors would the nurse explain as increasing the risk for oral cancer? Select all that apply.

The nurse determines that a patient is experiencing oliguria based on which amount of urinary output?

A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?

A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors?