The nurse is caring for a client who is diagnosed with benign prostatic hypertrophy (BPH). The client reports an increase in symptoms. Which of the following assessments would best explain the source of the increased symptoms?
1. Use of over-the-counter saw palmetto
2. Decreased oral intake at night
3. Use of over-the-counter cold medication
4. Recent vasectomy
3. Use of over-the-counter cold medication
Rationale:
Use of cold medications can increase symptoms because of their anticholinergic properties. Use of saw palmetto and decreased oral intake at night may resolve symptoms. A vasectomy does not affect the symptoms of BPH.
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Which nursing assessment would alert a nurse to the development of a mediastinal shift, in a client with tension pneumothorax?
A) Fluctuation of the fluid in the water-seal chamber B) Shift of rib cage toward affected side C) Sucking sound heard on inspiration and expiration D) Shift of trachea, esophagus, heart, and great vessels
The nurse is preparing a secondary level of prevention intervention for child abuse. An example of this level of prevention would be:
a. providing parenting classes with information about growth and development. b. telephone hotlines for parents to call who are feeling out of control. c. family therapy for abusive parents. d. behavior management programs for at-risk families.
Which assessment questions should the nurse ask the parents of a young child diagnosed with asthma?
A. "Has your child eaten any new foods?" B. "Does anyone smoke in the home?" C. "Have any chemicals been used in your home?" D. "Has your child recently traveled to any warm climates?" E. "Have you changed the laundry soap recently?"
A client taking prazosin has a blood pressure of 140/90. The client is complaining of swollen feet. What is the nurse's best action?
a. Hold the medication. b. Call the health care provider. c. Determine the client's history. d. Weigh the client.