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","D"]
Explanation
A. Oral anticoagulation is a treatment to prevent clots and reduce the risk of ischemic stroke, not a mechanism that causes a clot to form.
B. Anoxic encephalopathy is brain damage due to a lack of oxygen, which can be a result of stroke but is not a cause of thrombus formation.
C. Carotid stenosis or the narrowing of the carotid arteries, can lead to the formation of clots that may travel to the brain and cause an ischemic stroke.
D. Atrial fibrillation is a heart rhythm disorder that can lead to the formation of blood clots in the heart. These clots can then travel to the brain and cause an ischemic stroke.
E. Glutamate toxicity refers to neuronal damage caused by excessive glutamate but is not a mechanism that leads to clot formation or ischemic stroke.
Correct Answer is ["A","C"]
Explanation
A. Urethritis: Chlamydia trachomatis is a common cause of urethritis in both men and women.
B. Mastitis: This is typically caused by bacterial infections in the breast tissue, not C. trachomatis.
C. Ectopic pregnancy: Chlamydia infection can lead to pelvic inflammatory disease (PID), which increases the risk of ectopic pregnancy.
D. Cervicitis: Although C. trachomatis does cause cervicitis, it's less specific compared to urethritis and ectopic pregnancy.
E. Teratoma of the ovary: This is a type of ovarian tumor, unrelated to C. trachomatis.
F. Endometriosis: This is a condition where endometrial tissue grows outside the uterus and is not caused by C. trachomatis.
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