The client who was treated 1 year ago for nonseminomatous testicular cancer now has an elevated serum alpha-fetoprotein level. What is the nurse's interpretation of this finding?
A. The client is fertile and should be informed about the need for contraception.
B. The client's testosterone production is below normal.
C. The client has an infection of the reproductive tract.
D. The client's cancer has probably recurred.
D
Alpha-fetoprotein is a tumor marker that is not produced in significant amounts by normal adult tissues. An increase in the level after treatment most commonly indicates recurrence or metasta-sis.
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A male student is seen in the campus clinic. He complains of painful scrotal edema, nausea, vomiting, chills, and fever. The nurse interprets these symptoms as being associated with:
1. orchitis. 2. epididymitis. 3. urethritis. 4. cystitis.
A postoperative laryngectomy and radical neck dissection client has a nursing diagnosis of Impaired Verbal Communication. Which of the following interventions should be included in the care plan?
A) Provide uninterrupted time for the client to attempt communication with the nurse and health care team. B) Instruct the client to speak softly when talking. C) Teach the client to read lips. D) Provide the client with a pen and paper for writing.
During a health history, a client reports complaints of headaches. Which of the following would lead the nurse to suspect that the client is experiencing cluster headaches?
A) Pain radiating from eye to temporal region B) Throbbing and severe pain C) Report of ringing in the ears prior to headache D) Additional complaint of sensitivity to light
As nurses continue to contextualize technology within the scope of their professional practice, what is the nursing issue with technology?
a. Computers b. Management information systems c. Information and information management d. Order entry applications