The patient is a 50-year-old African American male who has come in for his routine annual physical. Which of the following preventive screenings does the nurse recommend?
a. Digital rectal examination of the prostate (DRE) annually
b. Ca125 blood test once a year
c. Complete eye examination every year
d. Colonoscopy every 3 years
ANS: A
Men need to have a digital rectal examination of the prostate every year beginning at 50 years of age. Ca125 blood tests are indicated for women at high risk for ovarian cancer. Because this patient is a man, Ca125 is not needed. Patients over the age of 65 need to have complete eye examinations yearly. Colonoscopy every 10 years is recommended in patients 50 years of age and older.
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A patient with a history of heart failure is being treated with digoxin (Lanoxin). The nurse knows that this medication increases the force of contractions of the heart. What effect improves the contractility of the heart?
A) Positive chronotropic effect B) Positive inotropic effect C) Negative inotropic effect D) Negative dromotropic effect
An elderly man drove from his home to a nearby convenience store and was unable to remember how to get home. He was unable to tell a police officer his address and demonstrated labile mood
The officer took the man and met the man's wife, who related that her husband often wanders around the neighborhood, sometimes taking tools from people's garages. She reluctantly agreed that he should go to the emergency department for evaluation. He was diagnosed with Alzheimer's disease. On the basis of the patient's history, the nurse can make the assessment that the patient's Alzheimer's disease has progressed to: a. stage 1 (mild). b. stage 2 (moderate). c. stage 3 (moderate to severe). d. stage 4 (late).
Attendance at a conference
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Which of the following adverse effects would most likely be associated with the use of phenytoin (Dilantin)?
1. Vitamin B deficiency 2. Leg edema 3. Bleeding 4. Hypoglycemia