A client calls the urologist's office to receive instructions about semen analysis. The nurse should instruct the client to:
1. Avoid sexual intercourse 24 hours prior to obtaining specimen.
2. Use a latex condom to collect the specimen.
3. Expect that a repeat test might be required.
4. Expect a small sample.
3
Rationale:
1. The specimen is collected after 2–3 days of abstinence, usually by masturbation.
2. Regular condoms should not be used, because of the spermicidal agents that they contain.
3. A repeat semen analysis might be required to adequately assess the man's fertility potential.
4. Instructing the client to expect a small sample is not appropriate.
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The nurse reviews the neonate's medical record and sees the baby is at 38 weeks' gestation. Which of the following findings would make the nurse question the accuracy of this gestation?
1. Infant sleeps with extremities flexed. 2. Square window of 20 degrees 3. Elbow moves past midline when assessing scarf sign. 4. Breast tissue measures 0.7 cm.
Which activity would the nurse least likely include as exemplifying the preconceptual phase of Piaget's preoperational stage?
A) Displays of animism B) Use of active imaginations C) Understanding of opposites D) Beginning questioning of parents' values
On the ECG, what do the ST segment and T wave represent?
What will be an ideal response?
Dementia is a disorder that progresses over several years, with increasing confusion, forgetting family, and disorientation in familiar surroundings. A common problem with dementia patients is sundowning syndrome, which is described as
A) a behavior change at sunset as the client becomes more fatigued, listless, and disoriented. B) occasional onset of marked confusion, wandering and feeling lost during the afternoon, before sunset. C) habitual agitation, restlessness, and confusion that occurs after dark. D) increasing sleeplessness at night because the patient cat-naps during the day.