A 68-year-old male patient is admitted to the inpatient floor with reports of a UTI, urinary retention, and nocturia. The patient has chronic conditions including chronic cystitis and nicotine dependence. Microscopic urinalysis results show evidence of malignant epithelial cells. The patient is scheduled for transurethral resection the next day
Which condition is being described?
Bladder cancer
Bladder adenoma
Renal cell carcinoma
Renal epithelial cell cancer
The Correct Answer is A
A. Bladder cancer: The presence of malignant epithelial cells in the urinalysis and the scheduled transurethral resection are indicative of bladder cancer. Bladder cancer often presents with symptoms such as urinary retention, nocturia, and chronic cystitis, especially in older adults and those with risk factors like nicotine dependence.
B. Bladder adenoma: This is less common and typically benign, not associated with malignant epithelial cells.
C. Renal cell carcinoma: This affects the kidneys, not the bladder.
D. Renal epithelial cell cancer: This term is less specific and typically refers to cancers of the renal parenchyma, not the bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Atherosclerosis is the build-up of plaques in the arteries, leading to narrowed and hardened arteries, not dilation and weakening.
B. Varicose vein involve the swelling and twisting of veins, usually in the legs, due to valve failure, not the dilation of a blood vessel wall as in an aneurysm.
C. Aneurysm is the local dilation or bulging of a blood vessel due to a weakening of the vessel wall, which can lead to rupture and serious complications.
D. Thrombophlebitis is inflammation of a vein associated with clot formation, not the dilation of a blood vessel.
Correct Answer is C
Explanation
A. A complication of a medical or surgical procedure: This describes an iatrogenic pneumothorax, not a primary spontaneous pneumothorax.
B. A wound that allows air into the pleural cavity but not out: This describes a tension pneumothorax, not a primary spontaneous pneumothorax.
C. No underlying lung disease and no inciting event: A primary spontaneous pneumothorax occurs without any apparent cause or underlying lung disease, often in healthy individuals, especially young, tall, thin men.
D. Underlying lung disease as well as air entering the pleural space via ruptured blebs: This describes a secondary spontaneous pneumothorax, not a primary one.
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