A nurse is creating a plan of care for prostate screening in highrisk populations. Which of the following is an important consideration?
The best way to determine prostate cancer risk is to have a computed tomography (CT) scan.
Prostate cancer mortality is more than double for Black American males than for men in every other group.
Occupational toxin exposure among factory workers increases rates of prostate cancer by 30%.
Dietary factors can increase the risk of prostate cancer mortality by as much as 50%.
The Correct Answer is B
A. The best way to determine prostate cancer risk is to have a computed tomography (CT) scan. This statement is incorrect. A CT scan is not the primary method for prostate cancer screening. The most common screening tools include the prostatespecific antigen (PSA) blood test and digital rectal examination (DRE). If abnormalities are detected, further evaluation with a prostate biopsy or magnetic resonance imaging (MRI) may be warranted.
B. Prostate cancer mortality is more than double for Black American males than for men in every other group. This is the most accurate statement. Black American men have a significantly higher incidence of prostate cancer and are more than twice as likely to die from the disease compared to other racial or ethnic groups. Contributing factors include genetic predisposition, socioeconomic disparities, reduced access to early screening, and potential differences in tumor biology. Early screening and intervention are critical in this highrisk population.
C. Occupational toxin exposure among factory workers increases rates of prostate cancer by 30%. While some occupational exposures (e.g., pesticides, cadmium, and industrial chemicals) have been linked to a potential increased risk of prostate cancer, the exact percentage increase varies, and a direct causative link has not been definitively established. Other factors, such as genetic predisposition and lifestyle, play a more significant role.
D. Dietary factors can increase the risk of prostate cancer mortality by as much as 50%. While diet can influence prostate cancer risk, the claim that it increases mortality by 50% is not wellsupported by research. Diets high in red meat, saturated fats, and low in vegetables may contribute to increased risk, but the impact varies based on genetic and lifestyle factors. Antioxidantrich diets, such as those rich in fruits and vegetables, may have a protective effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Wear a mask when caring for the client. Influenza B is transmitted through droplet particles, so healthcare providers should wear a mask within 3 to 6 feet of the client to reduce the risk of transmission.
B. Place the client on airborne precautions. Airborne precautions are not necessary for influenza B. Droplet precautions are required, which involve wearing a mask and placing the client in a private room if possible. Airborne precautions are typically reserved for infections like tuberculosis, measles, and varicella.
C. Place the client in a private room. Clients with influenza should be placed in a private room or cohorted with another client with the same strain of the virus to prevent the spread of infection. This is a standard infection control measure for droplet precautions.
D. Prepare to administer an antibiotic to the client. Influenza B is a viral infection, and antibiotics are ineffective against viruses. Antiviral medications like oseltamivir (Tamiflu) may be prescribed instead, particularly if the client is within the first 48 hours of symptom onset.
E. Encourage the client to increase fluid intake. Fever, increased respiratory rate, and flulike symptoms can contribute to dehydration, so increasing oral fluid intake helps prevent dehydration, loosen respiratory secretions, and support overall recovery.
Correct Answer is ["B","C","D","E","F","G"]
Explanation
A. Hemoglobin: While the hemoglobin is at the lower end of normal, it is not critically low and does not require immediate reporting unless there is evidence of worsening anemia or active bleeding.
B. Upper respiratory infection: A persistent infection lasting over 2 months raises concern for relapsed leukemia or immunosuppression, especially given the elevated WBC count and persistent fever. This should be reported for further evaluation.
C. Breath sounds: The presence of clear breath sounds but with subcostal retractions suggests that the child is having difficulty breathing despite no significant lung congestion. This may indicate respiratory distress or worsening anemia, which requires immediate medical attention.
D. Skin assessment: Petechiae and unexplained bruising suggest thrombocytopenia, a common complication of leukemia relapse or bone marrow suppression. This could indicate a worsening condition and should be reported.
E. Retractions: Subcostal retractions are a sign of increased respiratory effort, suggesting that the child is struggling to maintain oxygenation. This is a serious finding that warrants immediate provider notification.
F. Oxygen saturation: A drop from 97% to 92% suggests respiratory compromise, which may be due to anemia, infection, or leukemic infiltration in the lungs. This decline needs to be reported promptly.
G. Respiratory rate: The increase from 22 to 30 breaths per minute indicates worsening respiratory distress, which may be due to anemia, infection, or respiratory failure. This change requires immediate attention.
H. WBC count: The elevated WBC count of 15,000/mm³ is above the normal range, which may indicate infection or possible leukemia relapse. However, since a mild elevation is expected with infection, it is not as immediately critical as the other findings.
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