Pathophysiology Practice
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1. A 26-year-old male client with C. Permanent sterility occurs in male clients who re-
Hodgkin's disease is scheduled to ceive radiation.
undergo radiation therapy. The
client expresses concern about the -Low sperm count and loss of motility are seen in males
effect of radiation on his ability with Hodgkin's disease before any therapy. Radiother-
to have children. What information apy often results in permanent aspermia, or sterility
should the nurse provide? (C). (A, B, and D) are inaccurate.
A. The radiation therapy causes the
inability to have an erection.
B. Radiation therapy with
chemotherapy causes temporary in-
fertility.
C. Permanent sterility occurs in
male clients who receive radiation.
D. The client should restrict sexual
activity during radiotherapy.
2. After talking with the healthcare A. As the prostate gland enlarges, its cells contribute
provider, a male client continues to more PSA in the circulating blood.
have questions about the results
of a prostatic surface antigen (PSA) -PSA is a glycoprotein found in prostatic epithelial cells,
screening test and asks the nurse and elevations are used as a specific tumor markers.
how the PSA levels become elevat- Elevations in PSA are related to gland volume, i.e.,
ed. The nurse should explain which benign prostatic hypertrophy, prostatitis, and cancer of
pathophysiological mechanism? the prostate, indicating (tumor) cell load (A). PSA levels
are also used to monitor response to therapy. (B, C,
A. As the prostate gland enlarges, and D) provide incorrect information.
its cells contribute more PSA in the
circulating blood.
B. The PSA levels normally rise and
fall, so multiple testings over time
, Pathophysiology Practice Questions
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are necessary.
C. Low PSA levels indicate that the
prostate gland is not functioning
properly.
D. The PSA blood test is used to de-
termine dosage for Viagra prescrip-
tions.
3. The nurse hears short, high-pitched B. Crackles in the right and left lower lobes.
sounds just before the end of in-
spiration in the right and left low- -Fine crackles (B) are short, high-pitched sounds
er lobes when auscultating a client's heard just before the end of inspiration that are the
lungs. How should this finding be result of rapid equalization of pressure when collapsed
recorded? alveoli or terminal bronchioles suddenly snap open.
Wheezing (A) is a continuous high-pitched squeak-
A. Inspiratory wheezes in both ing or musical sound caused by rapid vibration of
lungs. bronchial walls that are first evident on expiration and
B. Crackles in the right and left lower may be audible. Although (C) describes an adventi-
lobes. tious lung sound, this documentation is vague. (D) is a
C. Abnormal lung sounds in the creaking or grating sound from roughened, inflamed
bases of both lungs. surfaces of the pleura rubbing together heard dur-
D. Pleural friction rub in the right ing inspiration, expiration, and with no change during
and left lower lobes. coughing.
4. A client is admitted to the Emer- C. A deviation of the trachea toward the side opposite
gency Department with a tension the pneumothorax.
pneumothorax. Which assessment
should the nurse expect to identify? -Tension pneumothorax is caused by rapid accumula-
tion of air in the pleural space, causing severely high
A. An absence of lung sounds on the intrapleural pressure. This results in collapse of the
affected side. lung, and the mediastinum shifts toward the unaffect-
B. An inability to auscultate tracheal ed side, which is subsequently compressed (C). (A, B,