In inspecting the scrotum, the nurse documents which finding as normal?
a. The epididymides are round, solid nodular masses.
b. The scrotum is deeply pigmented with a rugous surface.
c. The scrotal skin is a lighter color than the body skin.
d. The vas deferens is palpable bilaterally.
ANS: B
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A health care provider orders that a confused and disoriented patient be placed in a full hand restraint because of excessive scratching of skin. The nurse acknowledges which of the follow-ing?
a. Restraints are used on an as-needed basis. b. No orders or patient consents are needed. c. Restraints must be removed every 2 hours to allow for skin assessment, toileting, and nutrition. d. An order for restraints may be used inde-finitely until the patient no longer needs to be restrained.
A gout patient's creatinine clearance is less than 80 mL/min. The nurse expects this patient to be started on which medication?
a. NSAID b. Allopurinol c. ASA d. Salicylates
Several nurses were discussing methods of restraint used in the 19th century. What are some of the methods the nurses might have noted? Select all that apply
1. Mitts 2. Seclusion 3. Strapping 4. Hydrotherapy 5. Straightjacket
A nurse working in a detoxification unit is admitting a client for alcohol withdrawal. The client's spouse states, "I don't know why I don't get out of this rotten situation
" Which of the following would be the therapeutic response by the nurse? 1. "This is not a good time to make that decision." 2. "What would your spouse think about your decision?" 3. "What aspects of this situation are the most difficult for you?" 4. "You seem to have a good grip on this situation. You probably should get out."