A 50-year-old client is scheduled for a test for ...

[audragclark]

A 50-year-old client is scheduled for a test for prostate-specific antigen (PSA). What should the nurse tell the client with respect to the procedure?
 
  A) The test is often repeated each year even if this result is negative.
  B) The test is very reliable for predicting prostate cancer.
  C) Inform client that he may feel mild discomfort during the injection.
  D) Monitor bowel movements after the procedure for changes in stool pattern.

Question 2

A nurse is caring for a client with a duodenal ulcer. What sign and symptom noticed
  during nursing assessment indicates a potential hemorrhagic complication?
 
  A) Bradycardia
  B) Hard and tender abdomen
  C) High blood pressure
  D) Coffee ground vomitus

[Harbringer]

Answer to Question 1

A
Feedback:
The nurse should instruct the client to undergo PSA testing and an annual rectal examination even if the PSA test is negative and there is no pre-existing risk factor for prostate cancer. This is according to the recommendations of the American Urologic Association. It is not a reliable test for predicting prostate cancer. The PSA can be elevated in prostatitis, benign prostatic hyperplasia, and adenocarcinoma. It does not cause any erection. Thus, there will be no feeling of pressure or discomfort. The procedure does not affect the bowel movements.

Answer to Question 2

D