The nurse is reviewing the current medications of a client with oligospermia. Which client medications would have a negative effect on sperm production?
Standard Text: Select all that apply.
1. Colchicine
2. Spironolactone
3. Cimetidine
4. Acetaminophen
5. Metoprolol
Correct Answer: 1,2,3
Rationale 1: Colchicine can lower sperm production.
Rationale 2: Spironolactone can lower sperm production.
Rationale 3: Cimetidine can lower sperm production.
Rationale 4: Acetaminophen is not known to lower sperm production.
Rationale 5: Metoprolol is not known to lower sperm production.
Global Rationale: Colchicine, spironolactone, and cimitidine can lower sperm production. This is not an effect of acetaminophen or metoprolol.
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What instruction would the nurse include when planning anticipatory guidance for parents of a toddler?
a. Adhere to a rigid schedule because the toddler is ritualistic. b. Limit-setting should include praise. c. Shoes should fit snugly at the toe and arch. d. Dress the toddler in pants with a zipper so that he or she can learn to zip and unzip clothes.
The nurse's instruction to the patient for peristomal skin care should include: (Select all that apply.)
a. gently removing the faceplate of the ap-pliance to avoid skin irritation. b. washing the peristomal area vigorously to rid the skin of fecal waste. c. rinsing the area thoroughly. d. applying a skin barrier to the peristomal area. e. cutting the faceplate to allow a 1/2-inch opening around the stoma.
Which of the following statements should the nurse use to instruct the nursing assistant caring for a client with an indwelling urinary catheter?
1. Empty the drainage bag at least every 8 hours. 2. Clean up the length of the catheter to the perineum. 3. Use clean technique to obtain a specimen for culture and sensitivity. 4. Place the drainage bag on the client's lap while transporting the client to testing.
A 25-year-old woman is in the second trimester of her pregnancy. During the interview, you ask her partner what changes they have noticed during the pregnancy. Which of the following answers would indicate a typical response to pregnancy?
1. "She has been more tense and anxious than usual, and she is not sleeping well." 2. "She daydreams about what kind of parent she is going to be." 3. "I haven't noticed anything. I just found out she was pregnant." 4. "She has been having dreams at night about misplacing the baby."