The nurse is caring for a 45-year-old patient with a suspicious tumor in the bladder. The health care provider has ordered a procedure to identify the tumor tissue. Which test is done to collect tissue specimens?
a. Abdominal radiograph
b. Intravenous pyelogram
c. Endoscopy/cystoscopy
d. Ultrasound renal bladder
C
Common uses of endoscopy include: microscopic hematuria, detect/obtain specimens from bladder tumors, and obstruction of the bladder outlet and urethra. Common uses for IVP include: detect and measure urinary calculi, tumors, hematuria, and obstruction of the urinary tract. Abdominal roentgenogram (plain film; kidney, ureter, bladder [KUB] or flat plate) are commonly used to detect and measure the size of urinary calculi. Ultrasound renal bladder common uses: detect masses, obstruction, presence of hydronephrosis or hydroureter, abnormalities bladder wall, calculi, and measure postvoid residual.
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A 4-year-old female patient who is accompanied by her mother presents with bruising and petechiae all over her legs and trunk. The diagnosis is immune thrombocytopenia purpura (ITP). The mother asks about the cause of the bruising
What is the nurse's best response to this question? A) "Don't worry. She probably just fell on the playground." B) "She is presenting with thrombocytopenia due to an acute episode of platelet consumption. What medications is your child taking and has she recently received a platelet transfusion?" C) "It's OK. This disease frequently is accompanied by bruising." D) "The bruises indicate a problem with white blood cells."
An aging client with severe schizophrenia takes a beta-adrenergic blocking agent (propranolol) for hypertension as well as an antipsychotic. Given the combined side effects of these drugs, what teaching should the nurse provide?
A) Make sure you concentrate on taking slow, deep, cleansing breaths. B) Watch your diet and try to engage in some regular physical activity. C) Rise slowly when you change position from lying to sitting or sitting to standing. D) Wear sunscreen and try to avoid midday sun exposure.
Which of the following medications actually dissolves a clot?
A) Plavix B) Aggrastat C) Warfarin D) Activase
Guidelines for communicating with a patient whose ability to speak and understand Eng-lish is questionable include (select all that apply):
a. Use interpreters whenever possible. b. Allow sufficient time for patient to formulate response. c. Recruit a family member as an interpreter whenever possible. d. Use nonverbal communication whenever it is considered appropriate. e. Maintain eye contract if such interaction is accepted by the patient's culture.