A nurse is obtaining a history and reviewing the chart of an adult male patient who has been taking oral androgens. Which assessment would warrant notifying the provider?
a. Acne and increased facial hair
b. Breast enlargement
c. Increased libido
d. Nausea, anorexia, and fatigue
D
Nausea, anorexia, and fatigue can indicate hepatotoxicity and should be reported to the provider. Virilization effects, gynecomastia, and an increase in libido are common, expected effects.
You might also like to view...
While examining the knee of a patient, the nurse places the patient in the supine position and uses firm pressure to stroke the medial aspect of the knee upward while applying pressure to the lateral side and observing the medial side
The nurse is utilizing the _____________ diagnostic test to assess this patient. 1. Bulge sign 2. Balloon sign 3. Ballottement 4. Tinel's sign
A woman of Mexican-American background who is in labor asks that her husband not be allowed in the delivery room and that he not see the baby until after the baby has had his or her initial bath. How can the nurse best respond to this request?
a. Insist that it is the hospital policy for the husband to be present during the delivery. b. Explain that the first hour after the birth of the baby is the most critical to promote bonding. c. Honor the request by recognizing that these are the cultural norms of the client. d. Ask the husband if he is willing to wait in the waiting room until the delivery is completed.
A new father asks the nurse to describe what his baby will experience while sleeping and awake. What is the best response?
1. "Babies have several sleep and alert states. Keep watching and you'll notice them." 2. "You might have noticed that your child was in an alert awake state for an hour after birth." 3. "Newborns have two stages of sleep: deep or quiet sleep and rapid eye movement sleep." 4. "Birth is hard work for babies. It takes them a week or two to recover and become more awake."
The nurse suspects that a pregnant patient might be experiencing abuse when the patient: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Denies that any injuries occurred, even though bruising is visible. 2. Gives an implausible explanation for any injuries. 3. Makes eye contact with the nurse while answering questions. 4. Allows her partner to answer the nurse's questions. 5. Frequently calls to change appointment times.