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Week 4 Sherpath
Week 4 Sherpath Bladder Cancer
Question | Answer |
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Which of the nurse’s patients is at greatest risk for developing bladder cancer? | A 74-year-old man who worked in a tire factory for 50 years |
Tumor cells that grow along the inner lining of the urothelium and penetrate the muscle would be classified in which way? | Flat, invasive |
The nurse understands that the majority of bladder cancers arise from which type of tissue? | Urothelium |
A patient with frequent suprapubic pain and urinary retention has a urinalysis that reveals epithelial cells and hematuria. Which additional diagnostic study would the nurse anticipate? | Bladder ultrasound examination |
A patient presents with gross hematuria and is diagnosed with stage III bladder cancer. Imaging indicates that the cancer has metastasized to the patient’s uterus. Which treatment would the nurse anticipate for this patient? | Radical cystectomy |
A patient diagnosed with bladder cancer with metastases to the prostate and live. The patient reports abdominal pain, severe nausea and vomiting, and fatigue. After administration of medication for the patient’s pain, which nursing action is the priority? | Administer and intravenous (IV) fluid bolus |
A patient receives Bacille Calmette-Guérin (BCG) treatment for carcinoma in situ of the bladder. When the treatment is unsuccessful, thiotepa is added to the regimen. Which care interventions should the nurse expect as necessary to ensure patient safety d | - Complete blood count (CBC) - Urinalysis - Blood culture |
Which information should Mr. Laraby receive after a partial cystectomy as part of immediate postoperative care? | “Drink a glass of water every hour.” |
The week after surgery, Mr. Laraby is concerned about dark red blood flakes in the urine. What is the appropriate response by the nurse? | “This is a normal part of healing.” |
The nurse is caring for a patient after a transurethral resection of the bladder. Which assessment finding would cause the nurse to contact the primary health care provider? | Bright red urine |
Which patient reports are consistent with manifestations of bladder cancer? | - Visible blood in urine - Urge to void 20 times per day |
A patient presents with gross hematuria accompanied by urinary urgency and increased frequency. Which diagnostic test would be ordered first? | Urinalysis |
A patient recently diagnosed with bladder cancer asks the nurse about the extent of the cancer. The nurse can tell the patient that which diagnostic test may be used to evaluate the cancer? | A computed tomography (CT) scan |
Match the patient bladder cancer diagnosis with the appropriate collaborative care treatment for which the nurse would prepare the patient. - Stage II - Stage II - Stage IV | - partial cystectomy - radical cystectomy - chemotherapy |
A 35-year-old woman is diagnosed with stage IV bladder cancer and indicates that she is planning to have children someday. The nurse would give the patient further information on which cancer treatment? | Radiation |
A patient is diagnosed with stage 0 bladder cancer and refuses treatment for fear of hair loss associated with chemotherapy. What is the appropriate response by the nurse regarding side effects for treatment of early-stage bladder cancer? | “Intravesical chemotherapy is not associated with hair loss.” |
A patient with carcinoma in situ of the bladder is treated with Bacille Calmette-Guérin (BCG). Which lab finding would cause the nurse to contact the primary health care provider? | White blood cell (WBC) count of 4/μL |
A patient with stage IV bladder cancer undergoes a radical cystectomy with urinary diversion 7/10 pain in the suprapubic area, and has heart .. blood pressure of 124/78 mm Hg. What nursing intervention is appropriate immediately after surgery? | Give intravenous pain medication. |
The nurse is caring for a patient after a radical cystectomy in the postanesthesia care unit. .., blood pressure of 92/78 mm Hg, respiratory rate of 10 breaths/min, and oxygen saturation of 88%. Which action is the priority for this patient? | Administer oxygen via nasal cannula. |