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Care of the patient with bladder cancer

doi: 10.1097/01.NME.0000453494.24094.08
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INSTRUCTIONS Care of the patient with bladder cancer

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Care of the patient with bladder cancer

GENERAL PURPOSE: To provide information about bladder cancer and its treatment. LEARNING OBJECTIVES: After reading the article and taking this test, you'll be able to: 1. Describe the types, causes, symptoms, and diagnosis of bladder cancer. 2. Identify treatments and nursing care of the patient with bladder cancer. 3. Compare the types of urinary diversions for bladder cancer and their nursing care.

  1. Which is the most common type of bladder cancer?
    1. adenocarcinoma
    2. squamous cell carcinoma
    3. transitional cell carcinoma
  2. The chief cause of bladder cancer is
    1. tobacco use.
    2. recurrent kidney infections.
    3. occupational exposure.
  3. The most common symptom of bladder cancer is
    1. abdominal pain.
    2. weight loss.
    3. painless hematuria.
  4. The gold standard diagnostic test for bladder cancer is a/an
    1. cystoscopy.
    2. MRI.
    3. I.urography.
  5. In stage III bladder cancer, the cancer
    1. is confined to the connective tissue and inner lining.
    2. has spread beyond muscle toward the reproductive organs.
    3. has spread to the abdomen and lymph nodes.
  6. BCG is used in bladder cancer to
    1. prevent metastasis.
    2. boost the patient's immune system.
    3. prepare the patient for chemotherapy.
  7. BCG is administered
    1. via a catheter into the bladder for a dwell time of 2 hours.
    2. I.over 2 hours.
    3. by bladder irrigation for 12 hours.
  8. Following administration of BCG, the patient should
    1. remain N.P.for 4 hours.
    2. be fluid restricted for 12 hours.
    3. void and then drink fluids.
  9. Typically, BCG treatments are provided
    1. once a week for about 3 weeks.
    2. daily for about 3 weeks.
    3. three times a day for 1 week.
  10. Typically, neutropenic precautions are initiated when the WBC count falls below
    1. 2,000/mm3.
    2. 2,500/mm3.
    3. 3,500/mm3.
  11. A partial cystectomy involves
    1. using a tool through the urethra to burn away cancer cells.
    2. removal of the diseased portion of the bladder.
    3. removal of the entire bladder.
  12. Which urinary diversion uses intestine as a conduit for urine to flow through a stoma?
    1. continent urinary diversion
    2. ileal conduit
    3. neobladder
  13. After ileal loop surgery, nursing care should include
    1. checking the stoma at least every 4 hours for the first 48 hours.
    2. using a smaller drainage bag at night for sleeping comfort.
    3. creating a pouch opening 1 inch larger than the stoma.
  14. Which assessment finding is considered an emergency and needs to be reported to the surgeon?
    1. moist stoma
    2. dusky-colored stoma
    3. odor at the stoma
  15. Following surgery, dehiscence of the wound is most likely to occur
    1. within 36 hours.
    2. between 36 and 72 hours.
    3. between 5 and 10 days.
  16. Which is the most common challenge for patients with a neobladder?
    1. learning self-catheterization techniques
    2. controlling incontinence
    3. proper fitting of a pouch
  17. The Kock pouch
    1. is optimized by performing Kegel exercises.
    2. uses intestine to form an internal pouch connected to the urethra.
    3. must be drained using a catheter.
  18. Teach patients who must self-catheterize to
    1. use a nonwater-soluble lubricant on the catheter.
    2. advance the catheter about 6 inches.
    3. use sterile technique.
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