The nurse is preparing to conduct a male genitourinary assessment. Which approach is least likely to be used during this process?
1) Percussion
2) Palpation
3) Inspection
4) Auscultation
ANS: 1
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A pregnant woman states, "My husband hopes I will give him a boy because we have three girls." What will the nurse explain to this woman?
a. The sex chromosome of the fertilized ovum determines the gender of the child. b. When the sperm and ovum are united, there is a 75% chance the child will be a girl. c. When the pH of the female reproductive tract is acidic, the child will be a girl. d. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.
When the nurse assesses the patient's reflexes, the knee jerks very quickly. The nurse determines that this is a hyperactive reflex without clonus and grades the observation as:
A) 1+ B) 2+ C) 3+ D) 4+
A patient diagnosed with schizophrenia has taken a conventional antipsychotic medication for a year. Hallucinations are less intrusive, but the patient continues to have apathy, poverty of thought, and social isolation
The nurse would expect a change to which medication? a. Haloperidol (Haldol) b. Olanzapine (Zyprexa) c. Chlorpromazine (Thorazine) d. Diphenhydramine (Benadryl)
When taking an axillary temperature, the thermometer should remain in place for
A. 3 minutes. B. 5 minutes. C. 8 minutes. D. 10 minutes.