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 ["B","E"]

Explanation

Choice A reason: Chewing gum does not increase the risk of oral cancer. It is generally considered safe and may even promote oral health by stimulating saliva production.
Choice B reason: Chewing tobacco is a significant risk factor for oral cancer. The harmful chemicals in tobacco can damage the cells in the mouth and lead to cancerous changes.
Choice C reason: Drinking carbonated beverages is not linked to an increased risk of oral cancer. However, excessive consumption might contribute to other health issues such as dental erosion and gastrointestinal discomfort.
Choice D reason: Excessive consumption of red meats is more closely associated with an increased risk of colorectal cancer rather than oral cancer. While a balanced diet is important, red meat is not a primary risk factor for oral cancer.
Choice E reason: Excessive drinking of alcohol is a known risk factor for oral cancer. Alcohol can irritate the cells in the mouth and increase the likelihood of developing cancerous lesions, especially when combined with tobacco use.

A. uOP of 350 ml/day B. uOP of 450 ml/day C. uOP of 550 ml/day D. uOP of 650 ml/day

Correct Answer is A

Explanation

Choice A reason: Oliguria is defined as a significantly reduced urine output, typically less than 400-500 ml per day in adults. A urinary output of 350 ml/day falls well below this threshold, indicating a condition of oliguria. This reduced output can be a sign of underlying issues such as dehydration, renal failure, or urinary tract obstructions. It is essential for healthcare providers to identify and address the cause of oliguria to prevent further complications.
Choice B reason: A urinary output of 450 ml/day is also indicative of oliguria but is closer to the higher end of the threshold for this condition. However, the specified definition usually considers less than 400 ml/day as oliguria, making 350 ml/day a more definitive example. While 450 ml/day is still reduced and warrants attention, it is slightly above the typical clinical cutoff for oliguria.
Choice C reason: A urinary output of 550 ml/day is above the typical threshold for oliguria. It indicates reduced urine output but does not meet the clinical definition of oliguria. Such output may still require monitoring, but it does not classify as oliguria, which is generally defined as less than 400-500 ml per day.
Choice D reason: A urinary output of 650 ml/day is well above the threshold for oliguria. This output is closer to normal daily urine output, which typically ranges from 800 to 2000 ml/day, depending on fluid intake and other factors. Therefore, it does not indicate oliguria and would be considered within normal limits or slightly reduced, depending on the clinical context.

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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

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.

Correct Answer is ["B","E"]

Explanation

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

Correct Answer is A

Explanation

A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?

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A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

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