A nurse obtains the health history of a client with a suspected ...

[piesebel]

A nurse obtains the health history of a client with a suspected diagnosis of bladder cancer. Which question should the nurse ask when determining this client's risk factors?
 
  a. Do you smoke cigarettes?
  b. Do you use any alcohol?
  c. Do you use recreational drugs?
  d. Do you take any prescription drugs?

Question 2

A nurse cares for a client who is scheduled for the surgical creation of an ileal conduit. The client states, I am anxious about having an ileal conduit. What is it like to have this drainage tube? How should the nurse respond?
 
  a. I will ask the provider to prescribe you an antianxiety medication.
  b. Would you like to discuss the procedure with your doctor once more?
  c. I think it would be nice to not have to worry about finding a bathroom.
  d. Would you like to speak with someone who has an ileal conduit?

[amy.lauersdorf90]

Answer to Question 1

ANS: A
Smoking is known to be a factor that greatly increases the risk of bladder cancer. Alcohol use, recreational drug use, and prescription drug use (except medications that contain phenacetin) are not known to increase the risk of developing bladder cancer.

Answer to Question 2

ANS: D
The goal for the client who is scheduled to undergo a procedure such as an ileal conduit is to have a positive self-image and a positive attitude about his or her body. Discussing the procedure candidly with someone who has undergone the same procedure will foster such feelings, especially when the current client has an opportunity to ask questions and voice concerns to someone with first-hand knowledge. Medications for anxiety will not promote a positive self-image and a positive attitude, nor will discussing the procedure once more with the physician or hearing the nurse's opinion.

[piesebel]

Thanks for the timely response, appreciate it

[gcook]

Gracias!