When teaching a community education class about the seven warning ...

[anjilletteb]

When teaching a community education class about the seven warning signs of cancer, the nurse will note that the most common sign of bladder cancer is
 
  A)
  inability to empty the bladder fully.
  B)
  colic spasms of the ureters.
  C)
  painless bloody urine.
  D)
  passage of large clots after voiding.

Question 2

A 34-year-old man has been taking up to 2400 mg of ibuprofen per day following a motor vehicle accident several months ago and consequent chronic pain.
 
  He has recently been diagnosed with chronic analgesic nephritis as a result of his high analgesic intake. The man is surprised at the diagnosis stating, I thought that taking too many drugs hurts your liver if anything, not your kidneys. What is the most appropriate response to the man's statement?
  A)
  Your liver does perform most of the detoxification in your body, but your kidneys can perform this role if the liver is unable to.
  B)
  High drug intake can cause your kidneys to be very vulnerable to infections, which is likely what happened in your case.
  C)
  Your kidneys are vulnerable to damage because of how much blood flows through them and the fact that they break down many drugs.
  D)
  It is very rare for someone as young as yourself to have kidney damage like this; usually only older people are vulnerable to kidney damage from drugs.

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Answer to Question 1

Ans:
C

Feedback:

The most common sign of bladder cancer is painless hematuria. Gross hematuria is a presenting sign in the majority of people with the disease, and microscopic hematuria is present in most others. Answer choice A refers to flaccid bladder; answer choice B refers to kidney stones; answer choice D refers to clots that are usually seen after surgery such as TURP where bladder irrigation is called for to prevent the clots from blocking urine output.

Answer to Question 2

Ans:
C

Feedback:

High flow and pressure combined with the metabolic transformative of drugs make the kidneys vulnerable to drug toxicity. They do not play a backup role to the liver in the metabolism of drugs, and while structural and functional damage may occur with drug overuse, infection is a less likely consequence. The elderly are particularly vulnerable to drug-related nephritis and nephropathies, but it would be incorrect to conclude that younger people are thus immune.

[anjilletteb]

Excellent

[parshano]

TYSM