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concept of nursing 1
Bladder Cancer
Question | Answer |
---|---|
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 | partial cystectomy |
Match the patient bladder cancer diagnosis with the appropriate collaborative care treatment for which the nurse would prepare the patient. STAGE III | radical cystectomy |
Match the patient bladder cancer diagnosis with the appropriate collaborative care treatment for which the nurse would prepare the patient. STAGE IV | 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. The patient is drowsy, but arousable, complains of 7/10 pain in the suprapubic area, and has heart rate of 82 beats/min, respiratory rate of 14 breaths/min, | -- |
breaths/min, oxygen saturation of 97%, temperature of 99.8° F, and 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. The patient is obtunded, has no urine output in the urostomy bag, and has the following vital signs: heart rate of 62 beats/min, | -- |
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. |