The nurse is assessing a male client prescribed propranolol (Inderal) for adherence to the treatment plan. Which is an important question for the nurse to ask the client?

A. "Have you noticed any changes in your sexual functioning?"
B. "Has your appetite increased or decreased?"
C. "Have you noticed any changes in your bowel function?"
D. "Have you noticed any difficulty in your ability to concentrate?"


Answer: A

Nursing

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The nurse prepares a client who needs an external urinary catheter before discharge. Which does the nurse include in client teaching about applying a self-adhesive external catheter?

1. Retract foreskin of penis before applying the catheter. 2. Remove hair at base of penis before applying catheter. 3. Apply a petroleum-based skin barrier to the penis first. 4. Press catheter adhesive to encourage adherence to penis.

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An adult client is complaining of vision changes and difficulty speaking because the tongue is larger. The client also states that his shoes no longer fit. Based on these symptoms, the client is most likely to be diagnosed with:

1. acromegaly. 2. cretinism. 3. gigantism. 4. Graves' disease.

Nursing

A male patient has told a nurse that he occasionally fights constipation. Teaching the patient how to prevent constipation and promote normal elimination, the nurse instructs him to

1. Eat a minimum of 50 g fiber every day and quickly increase the amount until normal defecation becomes routine. 2. Drink at least 2000 mL fluid every day, but limit the amount of caffeine to 300 mg. 3. Take a stool softener or laxative every day until a normal elimination pattern has been reestablished. 4. Eat small amounts at meals so less waste will need to be expelled.

Nursing

A nurse performs an assessment of pain discrimination on an older adult client. The client correctly identifies, with eyes closed, a sharp sensation on the right hand when touched with a pin. Which action should the nurse take next?

a. Touch the pin on the same area of the left hand. b. Contact the provider with the assessment results. c. Ask the client about current medications. d. Continue the assessment on the client's feet.

Nursing