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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Myocardial infarction. Gout is a form of arthritis that results from the deposition of uric acid crystals in joints and tissues. It occurs due to hyperuricemia, a condition characterized by an elevated level of uric acid in the blood. The most common cause of hyperuricemia is the overproduction or under-excretion of uric acid. Myocardial infarction is a condition that results from the blockage of blood flow to the heart, which can lead to tissue death. Gout is not caused by long-standing cardiopulmonary disease, fungal infection, or iron- deficiency anemia.

Choice A, Long-standing cardiopulmonary disease, is incorrect because it is not a cause of gout.

Choice B, Fungal infection, is incorrect because it is not a cause of gout. Choice C, Iron-deficiency anemia, is incorrect because it is not a cause of gout.

A. Increased pulse rate, adventitious breath sounds. B. Increased pulse rate, respirations of 16 breaths/minute. C. Decreased pulse rate, respirations of 20 breaths/minute. D. Decreased pulse rate, abdominal breathing.

Correct Answer is A

Explanation

Increased pulse rate, adventitious breath sounds. Guillain-Barré syndrome (GBS) is a rare autoimmune disorder that affects the peripheral nervous system. It can cause weakness, paralysis, and difficulty breathing. Increased pulse rate and adventitious breath sounds, such as crackles or wheezes, may indicate that the client is experiencing respiratory distress and needs oral suctioning. Increased pulse rate and respirations of 16 breaths/minute, choice B, may indicate anxiety or pain but are not necessarily indicative of the need for oral suctioning.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following conditions is the cause of gout?

Correct Answer is D

Explanation

The nurse is caring for a client with Guillain-Barré syndrome. Which assessment finding would indicate the need for oral suctioning?

Correct Answer is A

Explanation

The nurse is preparing a client for surgery and observes on the operative permit that the client will be having a double-barrel colostomy. What portion of the large intestine is the nurse aware that this is performed?

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