Medical Surgical Bladder cancer and cystoscopy #3

Question

A client with a history of bladder cancer returns for a routine clinic visit. The nurse becomes concerned following the urinary analysis and will follow-up on which priority assessment data?

Answers

  1. The client complains of dysuria.
    • Rationale:

      This answer is not correct because dysuria is a symptom of many disorders that impact the urinary tract; however, this is not a cardinal sign of bladder cancer thus does not prompt the nurse to follow-up on priority.

  2. The client has painless hematuria.
    • Rationale:

      This answer is correct because painless hematuria (i.e., blood in the urine) is a cardinal symptom of bladder cancer necessitating priority follow-up from the nurse. Bladder cancer is a common type of cancer that begins in the cells of the urinary bladder.

  3. The client reports suprapubic pain with voiding.
    • Rationale:

      This answer is not correct because suprapubic pain with urination is a symptom of many disorders that impact the urinary tract; however, this is not a cardinal sign of bladder cancer thus does not prompt the nurse to follow-up on priority.

  4. The client states urine does not always empty from the bladder.
    • Rationale:

      This answer is not correct because urinary retention is a symptom of many disorders that impact the urinary tract; however, this is not a cardinal sign of bladder cancer thus does not prompt the nurse to follow-up on priority.

Overview

Bladder cancer is a common type of cancer that begins in the cells of the urinary bladder. The most common sign of bladder cancer is painless hematuria and the priority assessment data.

Explanation

Learning Outcomes

This cancer typically affects older adult clients. It is usually diagnosed early, when it is still treatable. However, bladder cancer likely to recur, so follow-up tests are typically recommended. The most common sign of bladder cancer is painless hematuria.

Test Taking Tip

Consider each choice as true or false regarding the cardinal sign of bladder cancer to answer this question correctly.

Video Rationale