A bladder cancer client asks the nurse, "What did the doctor mean by intravesicular chemotherapy? Am I going to lose all my hair and have to do for treatments over months and months?" The best response would be:

A) "This is when they put the chemotherapy directly into the bladder to kill any cancer cells."
B) "They will take you to radiology and inject some chemotherapy through your abdomen into your bladder."
C) "The doctor will place a scope up your urethra, into the bladder, and burn the lining of the bladder with a laser and then inject some tuberculosis bacillus into the lining."
D) "This is when they use a CyberKnife to cut off any lesions and then inject chemotherapy into the remaining portion of the bladder."


Ans: A
Feedback:
Surgical treatment of superficial bladder cancer is often followed by intravesicular chemotherapy or immunotherapy, a procedure in which the therapeutic agent is directly instilled into the bladder. None of the other responses describe this procedure. The chemotherapy drug is not injected through the abdomen into the bladder. BCG is instilled into the bladder to elicit an inflammatory response that can kill the tumor. A CyberKnife is used with the brain, not the bladder.

Health & Biomechanics

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