What normal finding does a nurse expect to find when palpating a male patient's 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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Which of the following would the nurse expect to assess in a client with premenstrual syndrome?
A) Fever, headaches, and skin rashes B) Hot flashes, dizziness, and palpations C) Headaches, fluid retention, and irritability D) Dyspareunia, dysuria, and fatigue
) A patient being treated with haloperidol for symptoms of delirium has a blood pressure reading of 190/110 mm Hg. Which nursing action is priority?
1. Encourage the patient to drink at least 240 mL of fluids. 2. Contact the prescriber about an increase in the haloperidol dosage. 3. Place the patient on seizure precautions. 4. Hold the haloperidol dose and collaborate with the prescriber.
While teaching a health promotion class to a group of parents of children in a Head Start class, which information should the nurse include to help decrease the risk of dental caries?
1. Delay introducing cow's milk until at least 1 year of age. 2. Offer drinking cups only at meal and snack times. 3. Encourage use of homemade baby food without preservatives. 4. Offer juices diluted 50% with water.
What is the most common cause of injury for adults in an acute care facility?
a. Medication error. b. Falls. c. Inadequate staffing. d. None of the above.