A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate-specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?
Prostatic cancer
Colon cancer
Liver cancer
Breast cancer
The Correct Answer is A
Choice A reason: An increased prostate-specific antigen (PSA) level is primarily indicative of prostatic conditions, including prostate cancer. PSA is a protein produced by both normal and malignant cells of the prostate gland. Elevated PSA levels can be a sign of prostate cancer, benign prostatic hyperplasia (BPH), or prostatitis. It is an important marker used in the screening and monitoring of prostate cancer.
Choice B reason: Colon cancer does not typically result in elevated PSA levels. Instead, colon cancer is often associated with markers like carcinoembryonic antigen (CEA). PSA is specific to prostate tissue, and its elevation is not related to colon cancer.
Choice C reason: Liver cancer is not associated with increased PSA levels. Liver function tests, alpha-fetoprotein (AFP), and imaging studies are more relevant in the diagnosis and monitoring of liver cancer. PSA levels do not provide information about liver cancer.
Choice D reason: Breast cancer does not affect PSA levels. Breast cancer markers include CA 15-3, CA 27.29, and others specific to breast tissue. PSA is a prostate-specific marker and is not used in the context of breast cancer diagnosis or monitoring.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Obesity is a risk factor for various cancers but is not specifically a primary risk factor for prostate cancer. It can contribute to overall health problems that indirectly affect cancer risk.
Choice B reason: Being male is a primary risk factor for prostate cancer, as this type of cancer affects the prostate gland, which is present only in men. The risk increases significantly with age and other factors.
Choice C reason: Age is a significant risk factor, with the incidence of prostate cancer increasing in men over 50. However, the most defining factor is being male.
Choice D reason: Moderate alcohol use is not specifically linked to an increased risk of prostate cancer. While excessive alcohol consumption can affect overall health, it is not a primary risk factor for prostate cancer.
Correct Answer is D
Explanation
Choice A reason: Securing the drain to the client's bed sheet is not appropriate as it does not ensure proper positioning and can lead to accidental dislodgement.
Choice B reason: Measuring the drainage every hour for the first 8 hours is excessive unless there are specific clinical concerns. Typically, drainage is measured at regular intervals but not every hour unless warranted by the client's condition.
Choice C reason: Removing the JP drain should be done according to medical orders, and not by the nurse independently deciding when to remove it. The JP drain is typically removed when the output decreases to a minimal level.
Choice D reason: Expelling the air from the JP bulb after emptying is crucial to re-establish the suction, which is necessary for the drain to function effectively. This action helps to ensure continuous drainage and prevent fluid accumulation.
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