A nurse is reviewing the history along with physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom?
Painless hematuria.
Frequency.
Urinary retention.
Fever.
The Correct Answer is A
Painless hematuria. Painless hematuria, the presence of blood in the urine without any accompanying pain, is the most common initial symptom of a malignant tumor of the bladder. Frequency, choice B, urinary retention, choice C, and fever, choice D, may also be associated with bladder cancer but are not typically the initial symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Provide the client with warm fluids. Shivering is the body's natural response to try to warm itself up. Providing warm fluids to the client can help to increase the client's core temperature and decrease shivering.
Choice A is incorrect because a hypothermia blanket is used to reduce the client's core temperature, which is not appropriate for a client who is shivering.
Choice C is incorrect because a light blanket may not provide enough warmth for the client who is shivering.
Choice D is incorrect because the room temperature should be kept warm to prevent the client from getting colder and shivering more.
Correct Answer is A
Explanation
Autonomic dysreflexia is a medical emergency characterized by a sudden onset of excessively high blood pressure, sweating, and headache. It is caused by an overactivity of the autonomic nervous system in response to a noxious stimulus below the level of a spinal cord injury.
Choice B is incorrect because the central nervous system includes the brain and spinal cord, while autonomic dysreflexia is caused by a spinal cord injury.
Choice C is incorrect because the sympathetic nervous system is part of the autonomic nervous system and is involved in the response to autonomic dysreflexia.
Choice D is incorrect because the peripheral nervous system includes the nerves that extend from the brain and spinal cord to the rest of the body.
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