The nurse will anticipate that a 61-year-old client who has an enlarged prostate detected by digital rectal exam (DRE) and an elevated prostate specific antigen (PSA) level will need teaching about

magnetic resonance imaging (MRI)

uroflowmetry studies

cystourethroscopy

transrectal ultrasonography (TRUS)

Answer and Explanation

The Correct Answer is D

A. Magnetic resonance imaging (MRI) may be used in some cases, but TRUS is more commonly used to guide biopsies after concerns arise from DRE or PSA findings.

B. Uroflowmetry studies measure urine flow, which is not the primary concern in evaluating an enlarged prostate related to potential cancer.

C. Cystourethroscopy is used to evaluate the bladder or urethra and is not typically needed in the assessment of an enlarged prostate.

D. Transrectal ultrasonography (TRUS) is commonly used in the evaluation of prostate abnormalities, especially when there are concerns about prostate cancer due to an abnormal DRE or elevated PSA. It helps in visualizing the prostate and guiding biopsy.

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Correct Answer is A

Explanation

A. A 19-year-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness: This is the correct choice. Fever and weakness in the context of menorrhagia suggest a possible infection (e.g., toxic shock syndrome) or severe blood loss, which requires immediate evaluation and intervention.

B. A 35-year-old client with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago: Spotting after IUD insertion is common and does not suggest an immediate threat to the client’s health.

C. A 39-year-old client who is complaining of 4/10 pain after an abdominal hysterectomy: Mild pain after a hysterectomy is expected and not an emergency.

D. A 42-year-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago: While secondary amenorrhea requires evaluation, it is not as urgent as a client with signs of possible infection or blood loss.

A. Early menarche B. Age greater than 65 years C. Genetic factors D. History of multiple births

Correct Answer is ["A","B","C"]

Explanation

A. Early menarche increases lifetime exposure to estrogen, raising breast cancer risk.

B. Age is a significant risk factor for breast cancer.

C. Genetic factors, like BRCA mutations, increase the risk.

D. History of multiple births is generally protective against breast cancer.

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The nurse will anticipate that a 61-year-old client who has an enlarged prostate detected by digital rectal exam (DRE) and an elevated prostate specific antigen (PSA) level will need teaching about

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Naxlex Comprehensive Predictor Exams

The nurse in the women's health clinic has four clients who are waiting to be seen. Which client should the nurse see first?

Correct Answer is A

Explanation

The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is reviewing the chart of a new client in the family medicine clinic and notes that the client is identified as "George Smith." The nurse enters the room and finds a woman in a skirt. What action by the nurse is best?

A nurse assesses a client with tachycardia. Which clinical manifestation requires immediate intervention by the nurse?

During the administration of finasteride (Proscar), the nurse must remember which important precaution?

When evaluating the effectiveness of preoperative teaching with a client scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery, the nurse determines that additional teaching is needed when the client says which of the following?

After receiving change-of-shift report about the following four clients, which client should the nurse assess first?

A nurse prepares to defibrillate a client who is in ventricular fibrillation. Which intervention is appropriate for the nurse to perform prior to defibrillating this client?

After the nurse has taught the client with a newly diagnosed sexually transmitted infection about expedited partner therapy, which client statement indicates that teaching has been effective?

A client has just been admitted with a 60% total body surface area (TBSA) burn injury. The nurse notes a distended abdomen with absent bowel sounds in all quadrants. To maintain adequate nutrition, the nurse should plan to take which action?