The nurse is providing information at a health fair. Which of the following clients has the most risk factors for renal cancer?
76-year-old female who drinks alcohol daily and is 101 lbs (4.5 kg) underweight
61-year-old male who smokes cigarettes and restores old buildings
53 year old male who had a urinary tract infection and has type 1 diabetes
42 year old female who is addicted to heroin and has hepatitis B
The Correct Answer is B
A. 76-year-old female who drinks alcohol daily and is 101 lbs (45 kg) underweight: While alcohol consumption is a risk factor for some cancers, it is not a primary risk factor for renal cancer. Being underweight may be concerning but it does not significantly increase the risk for renal cancer.
B. 61-year-old male who smokes cigarettes and restores old buildings: Smoking is a major risk factor for renal cancer, and occupational exposure to asbestos (common in the restoration of old buildings) increases the risk as well. This combination makes this individual the highest-risk candidate for renal cancer.
C. 53-year-old male who had a urinary tract infection and has type 1 diabetes: While diabetes is a risk factor for kidney disease, it is not a major risk factor for renal cancer. UTIs are more commonly linked to urinary tract issues but do not significantly increase renal cancer risk.
D. 42-year-old female who is addicted to heroin and has hepatitis B: While hepatitis B can lead to liver cancer, it is not a significant risk factor for renal cancer. Heroin use may lead to kidney issues, but it is not strongly linked to renal cancer specifically.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Testicular self-exams: Testicular self-exams are a common and recommended method for screening for testicular cancer. Men are encouraged to check their testicles regularly for any lumps, swelling, or changes in size, which could indicate cancer.
B. Biennial dental check-ups: Dental check-ups are important for oral health but are not related to the screening of testicular cancer. They do not help in detecting testicular cancer.
C. Annual eye exams: Eye exams are important for detecting vision problems, but they are not used to screen for testicular cancer. Regular eye exams are unrelated to testicular health.
D. Monthly blood pressure monitoring: While blood pressure monitoring is crucial for cardiovascular health, it is not a screening method for testicular cancer. Monitoring blood pressure does not help detect testicular cancer.
Correct Answer is D
Explanation
A. If fatigue occurs, stop taking beta blockers: Fatigue can be a common side effect of beta blockers, but the nurse should not recommend stopping the medication without consulting the healthcare provider. Abruptly discontinuing beta blockers can worsen symptoms.
B. Limit fluid intake to 1000 mL per day: Limiting fluid intake to 1000 mL per day is not a standard for hypertrophic cardiomyopathy unless signs of fluid retention are present. Fluid restriction should be based on the client’s condition and any co-existing issues like heart failure.
C. Monitor weights daily: Monitoring daily weights is important for assessing fluid retention, but it is not the most crucial teaching point for hypertrophic cardiomyopathy. The primary concern is managing symptoms and avoiding strenuous activity.
D. Limit strenuous physical activity: Limiting strenuous physical activity is essential for clients with hypertrophic cardiomyopathy. Intense exercise can increase the risk of arrhythmias and sudden cardiac arrest. The client should avoid activities that strain the heart.
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