70-year-old G.H. presents to your clinic with urinary urgency, difficulty initiating stream, and urinary retention. His symptoms began 6 months ago.
His last PSA with DRE was 10 years ago - results were normal
You are taking a health history from G.H.
What risk factors and symptoms do you want ...
Genitourinary Exam
70-year-old G.H. presents to your clinic with urinary urgency, difficulty initiating stream,
and urinary retention. His symptoms began 6 months ago.
His last PSA with DRE was 10 years ago - results were normal
You are taking a health history from G.H.
What risk factors and symptoms do you want to know about? correct answers
Smoking, ethnicity, hx, urinary habits, signs/symptoms, diet, obesity, testosterone
supplements, low back pain,
You are caring for a patient who has just been diagnosed with late stage kidney cancer
with mets to the liver and bone. What kind of nursing care would you expect to provide?
correct answers Emotional support: sit and listen, provide education on treatment
options given by provider.
You are caring for a 21-year-old client who had a left orchiectomy for testicular cancer
on the previous day. Which nursing activity will be best to delegate to an LPN?
a. answering the client's questions about postorchiectomy radiation
b. administering the ordered PRN oxycodone (Roxicodone) to the client
c. teaching the client how to perform testicular self-examination on the remaining
testicle
d. assessing the client's knowledge level about the use of sperm banking correct
answers B. administering the ordered PRN oxycodone to the client
A client is admitted with a suspicion of bladder cancer. A nurse assesses the client for
which of the following earliest manifestations of the disease?
A. hematuria with no pain
B. painful urination & hematuria
C. pyruia & palpable abdominal mass
D. proteinuria & dysuria correct answers A. Hematuria with no pain
As charge nurse, which of the following patient's nursing care would you assign to the
LPN/LVN, working under the supervision of an RN?
A. a 48-year-old patient with cystitis who is taking oral antibiotics
B. a 64- year-old patient with kidney stones & a new order for lithotripsy
C. a 72-year-old patient with urinary incontinence needing bladder training
D. a 52-year-old patient with pyelonephritis and severe acute flank pain correct
answers A. a 48 y.o. patient with cystitis who is taking oral antibiotics
What are some major problems caused in the oliguric phase of AKI? correct answers
Fluid overload
Metabolic acidosis
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