A client diagnosed with prostate cancer asks the nurse the importance of the prostate specific antigen (PSA). The nurse explains to the client that the PSA:

is effective in diagnosing other male cancers

is decreased in the presence of cancer

is a screening tool for prostate cancer

is used as a definitive diagnosis for prostate cancer

Answer and Explanation

The Correct Answer is C

A.  PSA is primarily associated with prostate health and is not an effective marker for diagnosing other male cancers. While elevated PSA levels can sometimes indicate issues related to the prostate, they are not used for diagnosing other types of cancer.
B.   In fact, PSA levels are usually increased in the presence of prostate cancer. While there can be some conditions that lead to a decrease in PSA levels, cancer itself typically raises PSA levels.
C.  PSA is commonly used as a screening tool for prostate cancer. Elevated PSA levels may prompt further investigation, including biopsies, to determine if cancer is present. However, it’s important to note that elevated PSA can also occur due to benign conditions like prostatitis or benign prostatic hyperplasia (BPH).
D.  While PSA levels can indicate the possibility of prostate cancer, they do not provide a definitive diagnosis. A diagnosis of prostate cancer typically requires further testing, such as a prostate biopsy, to confirm the presence of cancerous cells.

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Correct Answer is B

Explanation

A. Clopidogrel is not a pain medication; it is an antiplatelet agent used to reduce the risk of stroke and other cardiovascular events. It should be taken regularly, not on an as-needed basis.
B. Clopidogrel works by inhibiting platelet aggregation, which helps prevent the formation of blood clots that can lead to strokes. This understanding indicates that the client recognizes the purpose of the medication and its importance in managing their condition after a TIA.
C. Clopidogrel is not used to treat anxiety; it is primarily focused on reducing the risk of thrombotic events. This choice shows a misunderstanding of the medication's purpose.
D. Clopidogrel does not directly control blood pressure; it is used to prevent blood clots. While blood pressure management is essential in the context of stroke prevention, clopidogrel itself does not have a role in lowering blood pressure.

A. notify the provider if the urine output is absent." B. resume voiding normally within one week." C. take a stool softener daily to decrease the chance of straining." D. monitor the skin around the surgical site for redness."

Correct Answer is B

Explanation

A. After a radical cystectomy, the client may have a urinary diversion (such as a stoma) and should be vigilant about monitoring urine output. Absence of urine output can indicate a serious issue, and notifying the provider is crucial.
B. This statement indicates a need for further clarification. After a radical cystectomy, clients typically do not resume normal voiding because the bladder is removed. Instead, they may have a urinary diversion or need to learn how to manage their new urinary output. Normal voiding as before surgery is not possible, so this statement reflects a misunderstanding of the procedure's implications.
C. After surgery, particularly abdominal surgery like a radical cystectomy, patients are often advised to take stool softeners to prevent constipation. Straining can increase the risk of complications and affect the surgical site, so this is a valid precaution.
D. Monitoring the surgical site for signs of infection, such as redness, swelling, or discharge, is an essential part of post-operative care. Clients should be educated on how to check their surgical site for any concerning changes.

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A client diagnosed with prostate cancer asks the nurse the importance of the prostate specific antigen (PSA). The nurse explains to the client that the PSA:

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Naxlex Comprehensive Predictor Exams

The client is diagnosed with a transient ischemic attack (TIA) and is prescribed clopidogrel. Which statement would indicate the medication education has been effective for this client? The client states, "Clopidogrel

Correct Answer is B

Explanation

Which statement, made by a client being discharged to home after a radical cystectomy, indicates a need for further clarification by the nurse? "I will:

Correct Answer is B

Explanation

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