When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down
The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) ______ hernia.
a.
Femoral
b.
Incisional
c.
Direct inguinal
d.
Indirect inguinal
ANS: D
With indirect inguinal hernias, pain occurs with straining and a soft swelling increases with increased intra-abdominal pressure, which may decrease when the patient lies down. These findings do not describe the other hernias.
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Why is it important for the nurse to redirect a schizophrenic client's focus to what is real in the "here and now" when a client dwells on delusions?
A) To share the client's hallucination B) To validate the client's delusional thinking C) To interrupt the client's delusional thinking D) To administer antipsychotic drugs as prescribed
A patient is prescribed tadalafil (Cialis). The pharmacy sends vardenafil (Levitra). What is your best action?
a. Give the drug because these drugs can be used interchangeably. b. Notify the prescriber to clarify the order. c. Ask the patient which drug he would prefer to take. d. Contact the pharmacy and request the correct drug.
To promote health of the fetus, the nurse should instruct the woman in the first trimester of pregnancy to do which of the following?
A) Eliminate high-fiber foods B) Eat foods high in folic acid C) Consume saturated fats D) Consume milk products in the last trimester
The nurse is planning a physical examination of a client following a head-to-toe format. In which order should the nurse conduct this assessment?
1. Head, upper extremities, abdomen, lower extremities. 2. Neck, head, vital signs, chest and back. 3. Lower extremities, abdomen, upper extremities, chest and back. 4. Head, neck, lower extremities, abdomen.