The nurse is using Tanner staging to track the sexual maturation of a male patient. The nurse documents that the patient has no pubic hair except for fine body hair similar to that on the abdomen
Which Tanner stage supports this nurse's documentation?
1) Stage 1
2) Stage 2
3) Stage 3
4) Stage 4
ANS: 1
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A 45-year-old woman with diabetes who has been hospitalized with diabetic ketoacidosis. Which of the following is most important for the nurse to assess during bath time?
a. Skin bruising b. Condition of teeth c. Sensation to the foot d. Skin folds for dirt
A patient is speech-impaired. When communicating with the person, you should ask the person to:
a. Avoid pointing or gesturing. b. Write down key words or the message. c. Ask questions only once. d. Avoid repeating and rephrasing state-ments.
A nurse recognizes which physiologic responses as a manifestation of pain in a neonate? (Select all that apply.)
a. Decreased respirations b. Diaphoresis c. Decreased SaO2 d. Decreased blood pressure e. Increased heart rate
After an influenza immunization, the patient complains of shortness of breath, breaks out in hives, and begins to twitch. Which ordered medication should the nurse give first?
a. Epinephrine injection b. Oxygen via mask at 5 L/min c. Corticosteroid injection d. Bronchodilators per nebulization