Author Question: The nurse is providing instructions to a patient diagnosed with renal cancer regarding when to call ... (Read 39 times)

Mr3Hunna · **on:** Jun 25, 2018

The nurse is providing instructions to a patient diagnosed with renal cancer regarding when to call for help after discharge. Which statement by the patient indicates that teaching has been successful?

1. I should call my physician if I experience new bleeding from any site.
2. I should call my physician if I have an oral temperature higher than 100.5 F.
3. I should call my physician if I have an episode of diarrhea.
4. I should call my physician if I experience an occasional headache.

Question 2

A patient diagnosed with prostate cancer is demonstrating signs of renal failure. What should this assessment finding suggest to the nurse?

1. obstructive uropathy
2. spinal cord compression
3. urethral strictures from radiation
4. bladder irritation from chemotherapy

maya.nigrin17@yahoo.com · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The nurse should instruct the patient to call the nurse or physician if any of the following signs or symptoms occur: oral temperature higher than 101.5 F; severe headache; significant increase in pain at usual site, especially if the pain is not relieved by the medication regimen, or severe pain at a new site; difficulty breathing; new bleeding from any site; confusion, irritability, or restlessness; verbalizations of deep sadness or a desire to end life; changes in eating patterns; changes in body functioning, such as severe diarrhea or constipation; withdrawal; frequent crying; greatly decreased activity level; and the appearance of edema in the extremities or significant increase in edema already present. The physician or nurse does not need to be contacted if the patient experiences an episode of diarrhea or an occasional headache.

Answer to Question 2

Correct Answer: 1
Patients with prostate cancer may experience obstruction of the bladder neck or the ureters. Bladder neck obstruction usually manifests as urinary retention, flank pain, hematuria, or persistent urinary tract infections, but ureteral obstruction is not often evident until the patient is in renal failure. Spinal cord compression does not cause renal failure. Urethral strictures from radiation would not cause renal failure. Bladder irritation from chemotherapy would not cause renal failure.