A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for bladder cancer? a
A 25-year-old female with a history of sexually transmitted diseases
b.
A 42-year-old male who has worked in a lumber yard for 10 years
c.
A 55-year-old female who has had numerous episodes of bacterial cystitis
d.
An 86-year-old male with a 50-pack-year cigarette smoking history
ANS: D
The greatest risk factor for bladder cancer is a long history of tobacco use. The other factors would not necessarily contribute to the development of this specific type of cancer.
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An infant with severe meconium aspiration syndrome (MAS) is not responding to conventional treatment. Which highly technical method of treatment may be necessary for an infant who does not respond to conventional treatment?
a. Extracorporeal membrane oxygenation b. Respiratory support with ventilator c. Insertion of laryngoscope and suctioning of the trachea d. Insertion of an endotracheal tube
A client has been on dialysis for 6 weeks. The family is complaining that instead of feeling grateful at this second chance at life, the client has become irritable with them and seems de-pressed. The most helpful response by the nurse would be
a. "Depression is very common at this time; it is hard to adapt to the losses s/he feels." b. "I am surprised that your loved one doesn't feel happier about being alive." c. "This must be very hard on you for your loved one to be so unappreciative." d. "We can arrange a psychiatric consultation if you think it will help."
Which statement made by the client newly diagnosed with type 2 diabetes mellitus indicates a need for clarification regarding diet therapy?
A. "I should increase my intake of vegetables with moderate to high amounts of die-tary fiber." B. "My intake of saturated fats should be no more than 10% of my total calorie in-take." C. "I should try to keep my diet free from carbohydrates." D. "My intake of plain water each day is not restricted."
A 15-year-old male suffers from severe hemorrhage following a motor vehicle accident. He is given a blood transfusion, but shortly afterward the red blood cells are destroyed by agglutina-tion and lysis
Which of the following blood type transfusion type matches would cause this? a. A-A b. B-O c. AB-O d. A-AB