Answer to Question 1
Correct Answer: 1
If renal cancer was detected at an early stage and cure is anticipated, teaching should focus on protecting the remaining kidney, including measures to prevent infection, renal calculi, hydronephrosis and trauma; maintain a fluid intake of 2000 to 3000 mL per day, and increase the amount during hot weather or strenuous exercise; urinate when the urge is perceived and before and after sexual intercourse; properly clean the perineal area; manifestations of urinary tract infection (UTI), and the importance of early and appropriate evaluation and intervention; manifestations of prostatic hypertrophy; avoid contact sports such as football or hockey; and measures to prevent motor vehicle accidents or falls, which could damage the kidney. A discussion of organ donor information is not relevant.
Answer to Question 2
Correct Answer: 1
Renal tumors are often silent and have few manifestations. The classic triad of symptoms, which is gross hematuria, flank pain, and palpable abdominal mass, is seen in only about 10 of people with renal cell carcinoma. Hematuria, often microscopic, is the most consistent symptom. Systemic manifestations include fever without infection, fatigue, and weight loss. Nausea and vomiting are not frequent symptoms of renal cancer.
The patient interview often requires note taking.
Patient teaching: female genetalia and reproductive tract assessment
A Patient Being Prepared for Electroconvulsive Therapy.
The reminder card should be completed and handed to the patient after the appointment is scheduled.
Patient health history form.
Risk assessment codes for an HIV-infected patient.