A young man has received a diagnosis of androgen deficiency and has been prescribed testosterone. At clinic follow-up appointments, the nurse should prioritize which of the following assessments?

A) Bladder ultrasound and urine testing for glucose and ketones
B) Weight and measurement of blood pressure
C) Hearing assessment and abdominal girth measurement
D) Deep tendon reflexes and random blood glucose testing


B
Feedback:
For patients who are being treated with androgens, the nurse should regularly assess the patient's blood pressure and body weight, as these may be affected by androgens. Urine testing and bladder ultrasound are generally unnecessary. It is prudent to monitor blood glucose levels, but assessment of DTRs is not required.

Nursing

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After teaching a client about advance directives, a nurse assesses the client's understanding. Which statement indicates the client correctly understands the teaching?

a. "An advance directive will keep my children from selling my home when I'm old." b. "An advance directive will be completed as soon as I'm incapacitated and can't think for myself." c. "An advance directive will specify what I want done when I can no longer make decisions about health care." d. "An advance directive will allow me to keep my money out of the reach of my family."

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For which of the following would a screening test be most appropriate?

a. Disease A, which must be caught early because society punishes those known to have the disease b. Disease B, which can be controlled if caught early in the disease process c. Disease C, which people need to know whether they have contracted, even though there is no treatment for the disease d. Disease D, because people may want to use that information in family planning

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The appearance of which of these signs indicates the beginning of pulmonary system failure in the dying client?

a. Cheyne-Stokes respirations c. respiratory distress b. episodic breathing d. the death rattle

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What should the nurse instruct an older patient who is newly diagnosed with tuberculosis?

1. In the early stage, it causes weight gain and shortness of breath. 2. It is caused by a virus related to human immunodeficiency virus (HIV). 3. It can be spread by persons who have positive skin tests and no symptoms. 4. It presents a higher risk for patients who take immunosuppressant medications.

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