Renal System questions 1. A client IS admitted to the nursing unit afterundergoing radical prostatectomy for cancer .

The nurse anticipates that which of the following nursing diagnoses will be most appropriate for this client in the immediate postoperative period? A. Fear related to the outcome of surgery B. Chronic pain related to the effects of cancer C. Disturbed body imagerelated to presence of a suprapubic catheter D. Impaired home maintenance related to insufficient help after discharge 2. A cyctectomy is performed for a client with a diagnosis of bladder cancer and a Kock pouch is created for urinary diversion.Ipreparing a discharge teaching plan for the client ,the nurse will include: A. Dietary restrictions B. Technique of catheterization C. External pouch and application care D. Proper administration of prophylactic antibiotics. 3. A client is admitted to the hospital with suspected bladder cancer. The nurse assesses the client for which of the following as the earliest manifestation of the disease? A. Painful urination and hematuria B. Pyuria and palpable abdominal mass C. Hematuria with no pain D. Proteinuria and dysuria 4. A nurse is caring for a client who has been diagnosed as having a kidney mass and is scheduled foa a renal biopsy.The client asks the nurse the reason for this procedure when other tests such as an ultrasound exam are available.In formulkating response , the nurse incorporates thye knowledge that renal biopsy.The client asks the nurse the reason for this procedure when other tests such as an ultrasound exam are available.Informulating a response ,the nurse incorporates the knowledge that renal biopsy. A. Determines if the mass is growing rapidly or slowly B. Provides an outline of the renal vascular system C. Helps differentiate between a solid mass and a fluid filled cyst D. Provides a tissue specimen to examine for specific cytologic information about the lesion 5. A client with renal cancer is to undergo preoperative renal artery embolization.The nurse reinforceas the primary benefit of this procedure by explaining to the client that: A. This will prevent the risk of pulmonary embolism by occluding the renal artery and its brnaches. B. This will decrease the size of the tumor because its blood supply will be removed after placement of an absorbable gelatin sponge C. The procedure will reduce the time needed for surgery by at least half because it provides hemostasis D. This will cause the tumor to become tougher and easier to resect in surgery with the scalpel. 6. A client with renal ancer is being treated preoperatively with radiation therapy.The nurse determines that the client demonstrates understanding of proper care of the skin over the treatment field by stating to: A. Avoid skin exposure to direct sunlight and chlorinated water. B. Use lanolin-based cream on the affected skin on a daily basis C. Remove the lines or inks marks using a gentle soap after each treatment D. Use the hottest water possible to wash the treatment site twice daily.

Gastrointestinal exams : 7. Early screening for detection of cancers of the right side of colon in individuals over 50 yrs old
should be done every year to include: A. Serum CEA levels B. Flexible sigmoidoscopy nursing history to ask specifically about: A. usual diet B. history of smoking

C. Digital rectal exam D. Fecal testing for occult blood

8. A knowledge of factors associated with colorectal cancer guides the nurse when obtaining a
C. history of alcohol D. environmental exposure to carcinogens

9. Patient asks the nurse if his risks for colon cancer are increased due to a polyp. The best
response is: A. it is very rare for polyps ot become malignant B. individuals with polyps have a 100% lifetime risk of developing colorectal cancer C. all polyps are abnormal and should be removed, but the risk for cancer depends on the type and if malignant changes are present D. all polyps are premalignant and source of most colon cancer. get colonoscopy every 6 months.

10. The nurse is reviewing thelaboratory results in a client with cirrhosis and notes that the ammonia level is elevated .Which diet does the nurse anticipate to be prescribed for this client ? A. Low protein dietB. High protein diet C. Moderate fat diet D. High carbohydrate diet Answer keys: A. -analysis B-application C- analysis D-application B-comprehension A-evaluation D-knowledge A- knowledge C-Analysis A-evaluation

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