The nurse is admitting an older patient with benign prostate hyperplasia (BPH). The nurse's priority questioning focuses on
a. family history of prostate disorders.
b. onset of symptoms.
c. psychosocial impact of the diagnosis.
d. typical urinary voiding patterns.
D
The purpose of the nursing assessment for an individual with BPH is to determine the extent of prostate enlargement and its effect on function so that appropriate nursing interventions can be planned and implemented. The primary assessment focuses on the patient's current voiding pat-terns.
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In a discussion about cancer, a student asks why the body does not phagocytize a tumor. What would be the instructor's best response?
A) "Sometimes tumor cells trick the T cells into allowing them to survive." B) "Some tumor cells do not develop an antigen–antibody reaction." C) "Some tumor cells develop a strong mast cell reaction." D) "Tumor cells are too small to be seen by the immune system."
A nurse is working with a community organization to improve sanitation in a poor area of the city. Which one of the following actions represents a "wide-angle" perspective for facilitating change?
a. Arrange for a town-hall type meeting to hear the residents' concerns. b. Campaign for a law supporting a ban on trash dumping in the area. c. Plan an educational program on food and water safety. d. Report violations to the city health commissioner for action.
The nurse is caring for a client in the hospital with chronic heart failure that has marked limitations in his physical activity
The client is comfortable when resting in the bed or chair, but when ambulating in the room or hall, he becomes short of breath and fatigued easily. What type of heart failure is this considered according to the New York Heart Association (NYHA)? A) Class I (Mild) B) Class II (Mild) C) Class III (Moderate) D) Class IV (Severe)
The nursing process consists of four steps. Which of the following is not a formal step of the nursing process?
A. Assessment B. Planning C. Observation D. Evaluation