A patient, age 56, has been advised that his prostate-specific antigen (PSA) level is elevated. The physician then performed a digital rectal examination (DRE). Which procedure is indicated next?
a. CA-125 test
b. Transrectal ultrasound
c. Needle biopsy of the prostate
d. MRI
B
Men over the age of 50 should be advised to have a prostate-specific antigen (PSA) test and rectal exam once a year. Two other screening methods—DRE and transrectal ultrasonography (TRUS)—are used alone and in combination in the early detection of prostate cancer.
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A 74-year-old woman who is in hospital for rehabilitation following hip replacement has been experiencing incontinence since admission
Which of the following interventions are likely to facilitate the restoration of the patient's bladder function? (Select all that apply.) A) Determine and assess the woman's recent voiding pattern. B) Request an order for an indwelling catheter from the patient's physician. C) Teach the patient how to meet hydration needs while still limiting fluid intake. D) Offer to assist to the commode every 2 hours while awake. E) Assess the client for contributing factors such as constipation.
An unintended consequence associated with the use of an electronic health system occurs when:
a. a physician places a medication order with an inappropriate drug dose for a pediatric patient in a CPOE system. b. a physician enters orders on a patient who was incorrectly selected from a drop-down list of the physician's personal patient list. c. a nurse enters a telephone order from the attending physician into the electronic health system and fails to read back the order. d. a nurse enters PRN pain medication orders on a patient and fails to record the indications for each pain medication.
A client has just been admitted to the nursing unit with the diagnosis of CREST syndrome. The findings the nurse would expect to note during the assessment are (Select all that apply)
a. calcinosis. b. esophageal dysfunction. c. rash. d. Raynaud's phenomenon. e. spider angiomas. f. telangiectasia.
On the federal level, American policy on adolescent sexuality is:
A. Ambivalent about sex education, with restricted access to contraception. B. Focused on abstinence-only programs with or without parental approval. C. Restricted to federal funding for clinics for financially disadvantaged adolescents. D. Supportive of comprehensive sex education, including contraceptive services.