A nurse performing a genital examination of a male client notes that the skin of the penis and scrotum is wrinkled. On the basis of this finding, the nurse:
A. Documents the normal finding
B. Checks for penile discharge, because this finding indicates infection
C. Palpates for a mass in the scrotum, because wrinkling indicates the presence of one
D. Obtains additional subjective data from the client, focusing on the scrotal abnormality
Ans: A. Documents the normal finding
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The home health nurse is visiting a three-month-old who has been diagnosed with congenital hypothyroidism and is taking daily thyroxine. The baby is on soy formula and is at the 50th percentile for height and weight
It is important that the mother understands that: 1. Parents may stop the thyroxine as long as the baby remains in the 50th percentile for height and weight. 2. Soy-based formula can interfere with the absorption of thyroxine. 3. Dairy-based formula is contraindicated when an infant is taking thyroxine. 4. As long as the baby is growing along the same growth curve, no interventions are necessary.
A middle-aged parent goes to the emergency room for symptoms of dizziness, headache, and suicidal ideation
The nurse assesses the patient for substance use, employment, child-rearing stressors, relationships with coworkers, recurring physical symptoms, and marital problems. The nurse is: 1. Failing to focus on the seriousness of the primary presenting problem. 2. Establishing rapport that will decrease the likelihood of suicide. 3. Doing more than the nurse's share of the interdisciplinary assessment. 4. Formulating a holistic–interactional assessment needed to interpret clinical data.
The nurse obtains a new position as a psychiatric-mental health nurse at the generalist level of practice. Based on the Psychiatric-Mental Health Nursing Standards of Practice (ANA, APNA, ISPN), in which areas might the nurse plan programs and
intervention to fulfill employment expectations? Select all that apply. 1. Stress management strategies 2. Early diagnosis of psychiatric disorders 3. Parenting classes for new parents 4. Family and group psychotherapy 5. Medication teaching for anti-anxiety medications
__________ is an inflammation of the tissue in the outer ear
Fill in the blank(s) with correct word