Joseph has just been diagnosed with a bladder tumor. Joseph isn't sure what that means as far as what his future holds including his plans for a family
You are the nurse on duty in the clinic for his physician and he comes to you for further information.
a. What symptoms do you expect to see with Joseph?
b. What are the treatment options available?
Students' answers should include the following:
a. Most common tumors of the urinary system
Blood is often the first sign.
Fever, urgency, dysuria, and frequency are early signs.
Tobacco use is the leading cause of bladder cancer.
Environmental and occupational reasons also affect bladder cancer, such as paint, dyes, rubber, leather, and carcinogens.
High cholesterol and high urinary pH
Men are more affected than women.
Later signs are pelvic pain, urinary retention, or frequency depending on where tumor is in bladder; anemia may be present from blood loss.
b. Treatment includes surgical removal of bladder and affected parts.
Urine cytology in checking for residual tumor cells in urine
Cystoscopic exams are done for checkups 2 to 3 months in frequency.
Antineoplastic drugs are topically applied; liquid form may also be used.
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