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 B

Explanation

A. Sucking on small quantities of ice chips is not appropriate in this case as it may worsen the airway obstruction or cause further irritation.

B. Applying oxygen and continuously monitoring the client's pulse oximetry will help ensure that the client's oxygen saturation remains adequate and that they do not experience respiratory distress or hypoxemia due to inhalation injury. Early intervention is crucial to prevent worsening of respiratory status.

C. Humidified room air can help in cases of airway irritation, but the priority is to ensure oxygenation and avoid hypoxia.

D. Antitussive medications may be indicated later, but airway management and oxygenation take precedence.

A. The medication must be given slow intravenous IV push. B. Asystole may occur for a few seconds after administration. C. The medication has a long half life, and therefore the duration of action is very long. D. The onset of action occurs in 5 minutes.

Correct Answer is B

Explanation

A. The medication must be given as a rapid intravenous IV push due to its short half-life not slowly.

B. Asystole is a common and expected response after adenosine administration.

C. Adenosine has a very short half-life, contrary to this statement.

D. The onset of action is immediate, not in 5 minutes.

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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

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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