A nurse is caring for a 33-year-old male who has come to the clinic for a physical examination
He states that he has not had a routine physical in 5 years. During the examination, the physician finds that digital rectal examination (DRE) reveals "stoney" hardening in the posterior lobe of the prostate gland that is not mobile. The nurse recognizes that the observation typically indicates what?
A) A normal finding
B) A sign of early prostate cancer
C) Evidence of a more advanced lesion
D) Metastatic disease
Ans: C
Feedback:
Routine repeated DRE (preferably by the same examiner) is important, because early cancer may be detected as a nodule within the gland or as an extensive hardening in the posterior lobe. The more advanced lesion is "stony hard" and fixed. This finding is not suggestive of metastatic disease.
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A patient has been diagnosed with a valvular disorder. The patient tells the nurse that he has read about numerous treatment options, including valvuloplasty. What should the nurse teach the patient about valvuloplasty?
A) "For some patients, valvuloplasty can be done in a cardiac catheterization laboratory." B) "Valvuloplasty is a dangerous procedure, but it has excellent potential if it goes well." C) "Valvuloplasty is open heart surgery, but this is very safe these days and normally requires only an overnight hospital stay." D) "It's prudent to get a second opinion before deciding to have valvuloplasty."
The nurse is working with a child who is immunosuppressed. The parents call to tell the nurse that the child has been exposed to varicella. Which of the following courses of action will the nurse suggest?
a. Call the pediatrician, and get the child prompt treatment with a varicella immune globulin within 72 hours of exposure. b. Isolate the child, and get an order for an immunization for varicella if the child has not received the immunization. c. Take the child to the emergency room there the doctor will begin intravenous (IV) antibiotics. d. Take the child to the doctor's office to be seen by the nurse practitioner or the pediatrician.
A patient has a urinary tract infection. The patient is told to take phenazopyridine (Pyridium) to decrease urinary discomfort. The patient should be instructed that her urine will turn
A) Orange B) Pink C) Blue D) Green
The nurse is caring for a patient who has a permanent gastric feeding tube. What nursing action would be most helpful to prevent aspiration during feedings?
a. Administer careful oral care daily. b. Check placement of the tube hourly. c. Elevate head of bed at least 30 degrees. d. Ask the physician to order daily x-rays.