The nurse is teaching a patient recovering from a nephrectomy for ...

[segrsyd]

The nurse is teaching a patient recovering from a nephrectomy for kidney cancer. What should the nurse include in this teaching?
 
  1. early recognition of a urinary tract infection (UTI)
  2. ways to limit fluids
  3. promoting high-impact sports and activities
  4. organ donor information

Question 2

A patient who is diagnosed with renal cancer states, I only lost a few pounds I had no other symptoms What should the nurse realize as being the only consistent symptom of renal cancer?
 
  1. hematuria
  2. flank pain
  3. nausea
  4. vomiting

[Athena23]

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.