A patient asks the nurse what it means when the doctor said that ...

[corkyiscool3328]

A patient asks the nurse what it means when the doctor said that he had adenocarcinoma of the bladder. Reviewing the pathophysiologic principles behind this type of cancer, the nurse knows
 
  A)
  it is a low-grade tumor that is readily cured with bladder surgery.
  B)
  after resection of the cancer, the prognosis is excellent with this type of cancer cell.
  C)
  that these types of cancer cells are very invasive to the tissue; therefore, the entire bladder must be removed.
  D)
  this is a rare but highly metastatic tumor that has a very poor prognosis.

Question 2

A nurse in an acute medical unit of a hospital has admitted a 62-year-old female from the emergency department who has been diagnosed with acute pyelonephritis.
 
  Which of the following statements most accurately conveys an aspect of the knowledge base that the nurse needs to perform adequate care and teaching?
  A)
  Most cases of acute pyelonephritis are attributable to poorly controlled hypertension.
  B)
  Flank pain, dysuria, and nausea and vomiting are likely assessment findings.
  C)
  The infection in the kidney is most likely a manifestation of a systemic infection.
  D)
  Imaging tests are likely to reveal scarring and deformation of the renal calices and pelvis.

[ApricotDream]

Answer to Question 1

Ans:
D

Feedback:

Adenocarcinoma is rare and highly metastatic. Answer choices A and B relate to urothelial carcinoma; answer choice C relates to squamous cell carcinoma.

Answer to Question 2

Ans:
B

Feedback:

Manifestations of acute pyelonephritis include pain, frequency, urgency, dysuria, nausea, and vomiting. Chronic rather than acute pyelonephritis is often caused by hypertension, while most cases are caused by ascending bacteria, not systemic infections. Scarring is more commonly a result of chronic pyelonephritis.

[corkyiscool3328]

TYSM

[alvinum]

Excellent