When caring for an older man patient, the nurse is aware that which changes are associated with the male reproductive system and aging? (Select all that apply.)
a. Testes soften c. Sperm count de-creases
b. Seminiferous tu-bules thicken d. Ejaculation is slower
A, B, D
Although men have the ability to produce sperm throughout their lives, they also experience changes in the functioning of the reproductive and the urogenital organs in later life. The changes are usually more subtle and noticed only as they accumulate, beginning when men are in their 50s. The testes atrophy and soften. The seminiferous tubules thicken, and obstruction caused by sclerosis and fibrosis can occur. Although sperm count does not decrease, fertility may be re-duced because of a higher number of sperm lack motility or have structural abnormalities. Erectile changes are also seen; more stimulation is needed to achieve a full erection, ejaculation is slower and less forceful, and refractory periods are longer.
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Hernias are successfully repaired by the surgical operation called a _____________
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A patient has just been diagnosed with Parkinson's disease and the nurse is planning the patient's subsequent care for the home setting. What nursing diagnosis should the nurse address when educating the patient's family?
A) Risk for infection B) Impaired spontaneous ventilation C) Unilateral neglect D) Risk for injury
A nursing student's grandmother relates a time in the 1920s when medications were selected based upon the recommendation of a nurse who lived in the neighborhood. How is this possible?
1. This student's grandmother must have lived on a military base or facility where nurses were granted this privilege 2. Medications have always been selected based upon physician prescription. 3. Prior to 1938, most medications were over-the-counter and nurses were instrumental in their choice. 4. Prescriptive authority was removed from nurse practice acts in the 1950s.
Nursing assistive personnel (NAP) finds a patient on the floor 30 minutes after the patient ambulated with physical therapy. What information should be charted by the NAP on the inci-dent report?
a. "Patient fell out of bed and landed on the floor.". b. "Patient found on floor. Upper side rails up. Bed in low position.". c. "Patient got dizzy and fell although am-bulated with physical therapy earlier.". d. "Patient unfortunately slipped and fell.".