During the examination of a male client's scrotum the nurse detects a hardened area in the right side of the scrotal sac. The nurse would correctly choose which of the following actions to complete first?
1. Ask the client about voiding patterns.
2. Notify the healthcare provider of this finding.
3. Use a light to perform transillumination.
4. Ask the client about sexual practices.
3
Rationale 1: Voiding patterns are not related to the findings of the examination.
Rationale 2: Abnormalities noted on the assessment will need to be reported to the healthcare provider but first, the nurse must obtain additional supporting information to include in the report.
Rationale 3: Transillumination is indicated to obtain further information.
Rationale 4: The client's sexual practices do not have direct bearing on the findings.
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The nurse assists the client with emphysema admitted because of a respiratory infection to assume what position to reduce the effort of breathing and improve gas exchange?
1. Left Sims' position 2. Fowler's position 3. High Fowler's position 4. Orthopneic position
A home health nurse visits an 18-year-old client who lives with his mother. The client has been assessed as having low self-esteem. The nurse refers the client for individual counseling
During the next home visit, which assessed client behavior clearly indicates treatment success? A. The client wants to buy a dog but has not yet asked his mother's permission. B. The client asks his mother for permission to buy a dog. C. The client tells his mother he plans to buy a dog. D. The client buys a dog and hides it in the garage.
The nurse is conducting an admission interview and assessment on a cognitively impaired, unco-operative client for the risk for injury. Which of the following options will most likely provide the information to confirm the diagnosis?
1. Base the degree of risk on observable data at the time of the client's current hos-pital admission. 2. Closely monitor the client's behavior and habits until risk for injury can be rea-sonably determined. 3. Make certain critically sound assumptions are based on the client's developmental stage and current cognitive stasis. 4. Interview the client's family, friends, and/or caregivers regarding prehospitaliza-tion risk factors.
Which title most likely reflects use of a longitudinal approach?
1. High School Students' Use of Marijuana 2. Is There a Relationship Between Forceps Delivery and Developmental Delays Identified Annually to Age Eight? 3. Is There a Relationship Between Use of Marijuana and Fertility? 4. Is Saline Equally Effective as Heparin Solutions in Maintaining Patency of Arterial Lines?