Mr. Hutchins is a 32-year-old patient who presents for follow-up examination. On examination you note painful clusters of small vesicles with surrounding erythema that erupt on the glans or foreskin. These are signs of:
A. cystitis
B. urethritis.
C. herpes progenitalis.
D. Peyronie disease.
Answer: C. herpes progenitalis.
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A student nurse is working on a community health project with her peers. One of the concerns in her community is the rise in homelessness resulting from the economy. The student nurse under-stands that which of the following is true?
a. Almost all homeless families are made up of single-parent families. b. Children in homeless families are usually in good health. c. Families with children are the fastest growing segment of the homeless popula-tion. d. Children in homeless families have no way to attend school so are illiterate.
The nurse is caring for a child with bipolar disorder. The child is taking lithium as ordered. The parents inquire about the potential side effects. Which response by the nurse would be most appropriate?
A) "You might see excessive urination and thirst, tremor, nausea, weight gain, and diarrhea.". B) "He might experience a significant decrease in his appetite and difficulty sleeping.". C) "You need to watch for dry mouth, urinary retention, and constipation.". D) "This medication can cause seizures, agitation, headache, and nausea.".
A client with paranoid schizophrenia refuses food. He states the voices are telling him the food is contaminated and will change him from a male to a female. A therapeutic response for the nurse would be
A. "You are safe here in the hospital, nothing bad will happen to you." B. "The voices are wrong about the hospital food. It is not contaminated." C. "I understand that the voices are very real to you, but I do not hear them." D. "Other people are eating the food and nothing is happening to them."
The nurse is making a home care visit for the first time to a patient recently discharged after hip replacement surgery. Which of the following, if observed in the home, would the nurse document as safety concerns? (Select all that apply.)
a. The patient has a large birdcage sitting on the floor in the middle of the living room. b. The hallway between the bedroom and bathroom is partially blocked by a cedar chest. c. Smoke detectors are located in the kitchen and near the bedrooms. d. A bathmat towel is on the floor in front of the tub. e. The patient's recliner faces the television. f. A safety bar has been installed in the shower.