Your patient complains of a discharge from his urethra each morning, yet none is present now. To obtain a specimen of the discharge for culture, you should ask your patient to
a. take the culture tube home to obtain a specimen the next morning.
b. provide a clean-catch urine specimen for culture.
c. milk his penis from the shaft to the glans.
d. squeeze his glans penis to express a discharge.
C
If the patient complains of penile discharge but none is present, ask the patient to milk the penis from the shaft to the glans. This maneuver may express a discharge that can then be cultured. Asking the patient to take the culture tube home to obtain a specimen the next morning may not be effective unless he is told about "milking" the penis. Providing a clean-catch urine specimen for culture is inappropriate because a urine specimen is not required. What is needed is a specimen of the drainage from the urethra. Squeezing the glans penis is not the correct method to obtain a discharge from the urethra.
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A 93-year-old patient has been functioning independently in the home but has suddenly become confused. A family member asks the nurse, "Does this mean Dad has Alzheimer's disease?" Which of the following is the most appropriate response?
a. "Your father will have to be monitored over time." b. "It is very likely your father has Alzheimer's disease." c. "Why do you think your father has dementia?" d. "Confusion can be a sign of an infection in an older adult."
A nurse receives a C-GAS score of 80 from a psychiatrist treating a 10-year-old boy. The findings indicate that:
1. The child has a poor level of functioning and needs a substantial amount of care. 2. The child is at a normal level for his age and should continue with activities that are working. 3. The child is managing his daily life well and reassessment should be done as needed. 4. The child is at considerable risk and should have support systems set in place.
When assessing the pulse of a client, the nurse will include which characteristics?
1. Rate. 2. Rhythm. 3. Volume. 4. Tone. 5. Viscosity.
When preparing to use healthcare information databases for secondary data use, which of the following would be most important?
A) Restrict the database search to one aspect of care B) Remove any patient-identifying information C) Ensure databases reflect empirical evidence D) Be knowledgeable about the questions to be answered