The nurse is obtaining a health history from a client describing urinary complications. Which assessment finding is most suggestive of a malignant tumor of the bladder?
A) Incontinence
B) Dysuria
C) Hematuria
D) Frequency
C
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The most common first symptom of a malignant tumor is hematuria. Most malignant tumors are vascular; thus, abnormal bleeding can be a first sign of abnormality. The client then has symptoms of incontinence (a later sign), dysuria and frequency.
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A client is on intravenous heparin to treat a pulmonary embolism. The client's most recent partial thromboplastin time (PTT) was 25 seconds. What order should the nurse anticipate?
a. Decrease the heparin rate. b. Increase the heparin rate. c. No change to the heparin rate. d. Stop heparin; start warfarin (Coumadin).
The nurse is caring for a client with recurrent urinary tract infections. Which of the following body structures would the nurse instruct as the most frequent cause of women's urinary tract infections?
A) The urethra B) The bladder C) The rectum D) The ureters
A 12-year-old girl asks the nurse about an increase in clear white odorless vaginal discharge. What response should the nurse give?
a. "This may mean a yeast infection." b. "This is normal before menstruation starts." c. "This is caused by an increase in progesterone." d. "This is possibly a sign of a sexually transmitted infection."
Palliative care is a structured system for care delivery that has what as its aim?
A) To give traditional medical care B) To prevent and relieve suffering C) To bridge between curative care and hospice care D) To provide care while there is still hope