A client with prostate cancer is being discharged from the hospital. Which
educational topic is inappropriate for this client?
A) Provide information on doses of complementary herbs
B) Teach the client and his family methods of pain control
C) Stress the importance of keeping client appointments with healthcare providers
D) Provide the client and the client's family information on support groups
Give this one a try later!
A) Provide information on doses of complementary herbs.
Rationale:
When providing discharge instructions to the client with prostate cancer,
the nurse will teach the client and his family methods of pain control and
stress the importance of keeping client appointments with healthcare
providers. The nurse will also provide the client and his family information
on support groups. The nurse does not have authorization to provide
information on doses of complementary herbs.
,What is the primary reason that prostate cancer rarely metastasizes to the bowel?
A) The capsular artery supplies blood to the bowel before the prostate.
B) The inferior vesicle artery supplies blood to the bowel before the prostate
C) The rectourethral fistula acts as a physical barrier to metastasis
D) The denonvilliers fascia acts as a physical barrier to metastasis
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D) The Denonvilliers fascia acts as a barrier to metastasis.
Rationale:
Despite its proximity to the rectum, metastasis to the bowel is uncommon in
prostate cancer, because a tough sheet of tissue, the Denonvilliers fascia,
acts as an effective physical barrier between the bowel and prostate. A
rectourethral fistula may develop as a result of treatment for prostate
cancer. The inferior vesicle artery and capsular artery provide blood to the
prostate but not the bowel.
The nurse is providing a seminar to men regarding screening for prostate cancer.
Which percentage should the nurse present as the 5-year survival rate for prostate
cancer confined to the prostate?
A) 80%
B) 95%
C) 100%
D) 85%
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C) 100%
Rationale:
The 5-year survival rate for prostate cancer confined to the prostate is
100%. It is a commonly occurring cancer. If the cancer spreads, the survival
rate is 95% after 5 years.
, The nurse is providing teaching to a client who will begin radiation therapy for
prostate cancer. Which information should the nurse include regarding sexual
function?
A) Sexual function may be impaired
B) It's not necessary to use condoms during intercourse
C) Testosterone will be given to assist sexual function
D) Sexual function will not be impaired
Give this one a try later!
A) Sexual function may be impaired
Rationale: Sexual function may be impaired. Testosterone would not be
used, as tumors could be androgen dependent. Condoms would be
recommended during intercourse to protect theclient's partner from
radiation.
What approach is appropriate for interpreting the prostate-specific antigen (PSA)
level as a diagnostic factor for prostate cancer?
A) A PSA level higher than 4.0 ng/mL indicates prostate cancer
B) A PSA level lower than 4.0 ng/mL indicates prostate cancer
C) A fluctuating PSA leve indicates prostate cancer
D) An abnormal PSA level alone is not enough to diagnose prostate cancer.
Give this one a try later!
educational topic is inappropriate for this client?
A) Provide information on doses of complementary herbs
B) Teach the client and his family methods of pain control
C) Stress the importance of keeping client appointments with healthcare providers
D) Provide the client and the client's family information on support groups
Give this one a try later!
A) Provide information on doses of complementary herbs.
Rationale:
When providing discharge instructions to the client with prostate cancer,
the nurse will teach the client and his family methods of pain control and
stress the importance of keeping client appointments with healthcare
providers. The nurse will also provide the client and his family information
on support groups. The nurse does not have authorization to provide
information on doses of complementary herbs.
,What is the primary reason that prostate cancer rarely metastasizes to the bowel?
A) The capsular artery supplies blood to the bowel before the prostate.
B) The inferior vesicle artery supplies blood to the bowel before the prostate
C) The rectourethral fistula acts as a physical barrier to metastasis
D) The denonvilliers fascia acts as a physical barrier to metastasis
Give this one a try later!
D) The Denonvilliers fascia acts as a barrier to metastasis.
Rationale:
Despite its proximity to the rectum, metastasis to the bowel is uncommon in
prostate cancer, because a tough sheet of tissue, the Denonvilliers fascia,
acts as an effective physical barrier between the bowel and prostate. A
rectourethral fistula may develop as a result of treatment for prostate
cancer. The inferior vesicle artery and capsular artery provide blood to the
prostate but not the bowel.
The nurse is providing a seminar to men regarding screening for prostate cancer.
Which percentage should the nurse present as the 5-year survival rate for prostate
cancer confined to the prostate?
A) 80%
B) 95%
C) 100%
D) 85%
Give this one a try later!
C) 100%
Rationale:
The 5-year survival rate for prostate cancer confined to the prostate is
100%. It is a commonly occurring cancer. If the cancer spreads, the survival
rate is 95% after 5 years.
, The nurse is providing teaching to a client who will begin radiation therapy for
prostate cancer. Which information should the nurse include regarding sexual
function?
A) Sexual function may be impaired
B) It's not necessary to use condoms during intercourse
C) Testosterone will be given to assist sexual function
D) Sexual function will not be impaired
Give this one a try later!
A) Sexual function may be impaired
Rationale: Sexual function may be impaired. Testosterone would not be
used, as tumors could be androgen dependent. Condoms would be
recommended during intercourse to protect theclient's partner from
radiation.
What approach is appropriate for interpreting the prostate-specific antigen (PSA)
level as a diagnostic factor for prostate cancer?
A) A PSA level higher than 4.0 ng/mL indicates prostate cancer
B) A PSA level lower than 4.0 ng/mL indicates prostate cancer
C) A fluctuating PSA leve indicates prostate cancer
D) An abnormal PSA level alone is not enough to diagnose prostate cancer.
Give this one a try later!
