While conducting a physical assessment, the nurse suspects that a male patient has a urinary tract or sexually transmitted infection. What did the nurse assess to make this clinical decision? Select all that apply.
A. Redness of the urinary meatus
B. Discharge from the urinary meatus
C. Swelling from the urinary meatus
D. Urinary meatus on the ventral surface
E. Urinary meatus on the dorsal surface
Answer: C
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A patient in the ICU with congestive heart failure demonstrates shortness of breath and complains of pleuritic chest pain. Which of the following conditions, associated with heart failure, should the nurse most suspect in this patient?
A) Transudative pleural effusion B) Exudative pleural effusion C) Acute asthma D) Emphysema
A patient with angina is beginning nitroglycerin. Before administering the drug, the nurse informs the patient that, immediately after administration, the patient may experience what?
A) Nervousness or paresthesia B) Throbbing headache or dizziness C) Drowsiness or blurred vision D) Tinnitus or diplopia
A client states, "My father was an alcoholic so I am destined to be one too." Which is the best response by the nurse?
A) "Children of alcoholics are more likely to become alcoholic." B) "There is treatment available to prevent the trait of alcoholism." C) "This is just a theory and has no basis of proof." D) "Let's talk about how you can take control of your destiny."
When discussing discharge instructions provided to the parents of a 2-year-old with an ear infection, the nurse would know that more teaching is required if the mother states:
1. "I will pull her pinna down and back to straighten the ear canal before I put in the eardrops." 2. "I will pull her pinna up and back to straighten the ear canal before I put in the eardrops." 3. "I will position the dropper so that the drop rolls down the wall of the canal, to prevent it from landing on her eardrum." 4. "I will be careful not to let the dropper touch her skin to prevent contamination of the medicine."