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","E"]
Explanation
A. Inflammatory is not a category used to classify lymphomas.
B. Chronic is not a specific category for lymphomas; it is a term often used for long-standing conditions.
C. Non-Hodgkin's (NHL) is a diverse group of blood cancers that includes any type of lymphoma except Hodgkin's lymphoma.
D. Latent refers to a dormant phase of a disease and is not a classification for lymphoma.
E. Hodgkin's is a specific type of lymphoma characterized by the presence of Reed-Sternberg cells, and it is one of the two main categories of lymphoma.
Correct Answer is A
Explanation
A. Nonpainful, enlarged lymph nodes: Hodgkin lymphoma typically presents with painless enlargement of lymph nodes, often in the neck, underarms, or groin.
B. Thrombocytopenia (low platelet count) is more common in advanced cases of bone marrow involvement, but it is not a typical initial manifestation of Hodgkin lymphoma.
C. Unexplained fluid retention is not a typical feature of Hodgkin lymphoma; it is more associated with heart failure or kidney disease.
D. Pancytopenia (reduction in red cells, white cells, and platelets) can occur in severe cases, but it is not a hallmark of Hodgkin lymphoma's initial presentation.
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