The nurse and doctor are discussing treatment options for a client diagnosed with benign prostatic hypertrophy (BPH) with the client and his wife
The client expresses an interest in trying an alternative therapy, as he has read that this has been effective in relieving symptoms. The nurse is aware that which of the following is an alternative therapy? 1. Laser surgery
2. Treatment with dutasteride (Avodart)
3. Use of phytotherapy
4. Balloon uretoplasty
3. Use of phytotherapy
Rationale:
Phytotherapy includes use of barks and roots of the saw palmetto berry or Echinacea among others. The mechanism of action is unknown, but clients do experience relief. Laser surgery, dutasteride (Avodart), and balloon uretoplasty are conventional methods of treating BPH.
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A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. A bruit is a __________ sound that is heard best with the __________ of the stethoscope
a. Low gurgling; diaphragm b. Loud, whooshing, blowing; bell c. Soft, whooshing, pulsatile; bell d. High-pitched tinkling; diaphragm
The nurse is teaching safety to a patient with a dulled sensitivity to touch. What statement by the patient demonstrates understanding?
1. "I have to be careful around hot liquids such as water for my coffee." 2. "If I wear my winter gloves all of the time, I won't get hurt." 3. "I should use the back of my hands to test temperatures of liquids." 4. "I have a high tolerance to pain so I'll be okay."
The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to communicate a change in patient status to a health care provider. In which order should the nurse make the following statements?
(Put a comma and a space between each answer choice [A, B, C, D].) a. "The patient needs to be evaluated immediately and may need intubation and mechanical ventilation." b. "The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis, but urine output has been low." c. "The patient has crackles audible throughout the posterior chest and the most recent oxygen saturation is 89%. Her condition is very unstable." d. "This is the nurse on the surgical unit. After assessing the patient, I am very concerned about increased shortness of breath over the past hour."
Which of the following statements made by an older-adult client poses the greatest concern for the nurse conducting an assessment regarding the client's adjustment to the aging process?
1. "I use to enjoy dancing and jogging so much, but now I have arthritis in my knees so that it's hard to even walk." 2. "I've given my grandchildren money for college so they can live a better life than I had." 3. "Growing old certainly presents all sorts of challenges. I wish I knew then what I know now." 4. "As I age I've found its harder to do the things I love doing, but I guess it will all be over soon enough."