A nurse determines that findings on a client's physical examination are within the normal range when palpation reveals that the prostate gland:
a. Is approximately 4.5 cm in diameter and is highly mobile.
b. Feels smooth, firm, and slightly mobile.
c. Is deeply divided into three lobes, each approximately 2 cm in length.
d. Feels hard, asymmetrical, and has a palpable ridge that divides the gland into two lobes.
ANS: B
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A mother brings her 9-year-old daughter to the family practice clinic. She is worried because the daughter already has definite breast buds and is asking to wear a bra. What response by the nurse is best?
A. "At what age did you develop breast buds or start menstruating?" B. "Does anyone in your family have a history of precocious development?" C. "The average age for breast budding is 9.8 years, so she is normal." D. "This is too early for breast buds; she may need endocrine studies."
Which of the following patients is at the highest risk for hyperosmolar hyperglycemic syndrome?
a. An 18-year-old college student with type 1 diabetes who exercises excessively b. A 45-year-old woman with type 1 diabetes who forgets to take her insulin in the morning c. A 75-year-old man with type 2 diabetes and coronary artery disease who has recently started on insulin injections d. An 83-year-old, long-term care resident with type 2 diabetes and advanced Alzheimer's disease who recently developed influenza
A gerontologic nurse educator is providing practice guidelines to unlicensed care providers. Because reaction to painful stimuli is sometimes blunted in older adults, what must be used with caution?
A) Hot or cold packs B) Analgesics C) Anti-inflammatory medications D) Whirlpool baths
Which theorist believes that health is associated with the degree of congruence between the self as perceived and the self as experienced?
a. Jean Watson b. Martha Rogers c. Florence Nightingale d. Rosemarie Parse