Which characteristic of the prostate gland would the nurse recognize as an abnormal finding while palpating the prostate gland through the rectum?
a. Palpable central groove
b. Tenderness to palpation
c. Heart shaped
d. Elastic and rubbery consistency
ANS: B
The normal prostate gland should feel smooth, elastic, and rubbery; slightly movable; heart-shaped with a palpable central groove; and not be tender to palpation.
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The charge nurse is discussing with the new graduate nurse the care planning process for clients admitted to the unit. The graduate nurse correctly identifies the order of the steps of the nursing process as:
1. Diagnosis, Assessment, Planning, Implementation, Evaluation 2. Assessment, Diagnosis, Planning, Implementation, Evaluation 3. Planning, Assessment, Diagnosis, Implementation, Evaluation 4. Assessment, Planning, Diagnosis, Implementation, Evaluation
A client has mild acidosis but after a day has not compensated for it. Which action by the nurse is best?
a. Review the client's daily hemoglobin and hematocrit. b. Ask the laboratory to rerun today's arterial blood gases. c. Document the finding and notify the physician. d. Apply 2 L of oxygen via nasal cannula.
When speaking with a family about their 9-year-old daughter's nightmares, it is important to ask:
1. If the child has a history of daytime napping. 2. What medications the child takes during the day. 3. How often the child consumes caffeine. 4. All of the above should be part of the assessment.
The nurse stops at an accident scene to provide emergency care to the victims. Ethically, how would his or her actions best be labelled?
a. Respect for persons b. Beneficence c. Maleficence d. Triage