During the examination of an elderly male the nurse notes thin, gray pubic hairs and a scrotal sac that hangs significantly lower than the penis. The nurse would correctly choose which of the following actions?
1. Document the findings as normal.
2. Inform the client that he is no longer fertile.
3. Notify the healthcare provider of the findings.
4. Ask the client about his sexual practices.
1
Rationale 1: The older adult male begins to demonstrate thinning and graying of the pubic hair. The penis and testicles begin to diminish in size and the scrotum hangs lower.
Rationale 2: Sperm production in the middle aged and older man is reduced but there is still adequate sperm production to father children.
Rationale 3: The findings are normal and do now warrant notification of the healthcare provider.
Rationale 4: The sexual practices of the client are not impacted by the findings. Inquiry into them is not indicated at this time.
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The nurse is teaching assisted living center residents about over-the-counter skin preparations. Which should be used with caution in an older patient? Select all that apply.
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A PHN is reviewing immunization rates for the students in the county. The PHN observes that the rate is significantly lower for incoming kindergartners than it has been in years past. After performing a community assessment,
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