A nurse routinely works with older men in a large urology clinic. When obtaining data from clients, which of the following reports indicates the need for further investigation?
A) Orgasms of reduced intensity
B) The absence of libido
C) An erection that is less firm than in earlier years
D) Difficulty delaying ejaculation
B
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A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. The nurse should:
a. Document the presence of hepatomegaly. b. Ask additional health history questions regarding his alcohol intake. c. Describe this dullness as indicative of an enlarged liver, and refer him to a physician. d. Consider this finding as normal, and proceed with the examination.
A pregnant woman has arrived at the ICU with a blood pressure reading of 170/115, pronounced edema in her hands and feet, and proteinuria. Which condition does the woman most likely have?
A) Severe preeclampsia B) Preeclampsia C) Disseminated intravascular coagulation D) HELLP syndrome
A terminally ill patient is unconscious. Which nursing assessment findings would the nurse evaluate as possible pain responses? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The patient's breathing pattern changes. 2. The patient becomes diaphoretic. 3. It is unlikely that the unconscious patient will experience pain. 4. Agitation will begin or will increase. 5. Facial grimacing will occur with movement.
When irrigating the external ear canals of an older adult client, which nursing intervention would be used to assist in the removal of dry cerumen?
A. Heating the irrigation solution to body temperature B. Instilling oil into the canals 8 hours before irrigation C. Using a larger bore syringe to increase the force of fluid flow D. Plugging the canal so that the irrigating solution remains in the canal for at least 30 minutes before draining