While obtaining your nursing history, you record no family history of cancer or other genitourinary problems. S.M. reports frequency, urgency, and nocturia× 4; he has a weak stream and has to sit to void
These
symptoms have been progressive over the past 6 months. He reports he was diagnosed with a "large
prostate" a number of years ago. Last month, he began taking saw palmetto capsules but had to stop
taking them because "they made me sick."
Why did S.M. try taking the saw palmetto, and why do you think he stopped taking it?
Saw palmetto is an herbal product (classified as a dietary supplement by the Food and Drug
Administration [FDA]) that has been used to reduce prostate growth. It has antiandrogenic, antiinflammatory, and antiproliferative properties. It can cause loss of appetite, nausea, dizziness,
constipation, diarrhea, headache, and impotence. The side effects, plus the realization that his
symptoms were getting worse, might have caused him to stop taking it.
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A nurse is assessing an older client for the presence of infection. The client's temperature is 97.6 ° F (36.4 ° C). What response by the nurse is best?
a. Assess the client for more specific signs. b. Conclude that an infection is not present. c. Document findings and continue to monitor. d. Request that the provider order blood cultures.
A clinic nurse is working with an older client. What assessment is most important for preventing infections in this client?
a. Assessing vaccination records for booster shot needs b. Encouraging the client to eat a nutritious diet c. Instructing the client to wash minor wounds carefully d. Teaching hand hygiene to prevent the spread of microbes
Which of the following is a contributing cause of ulcers to the foot in the diabetic patient?
A) Venous insufficiency B) Arterial insufficiency C) Gout D) Smoking
The nurse is caring for a client who has recently been diagnosed with skin cancer. The client is tearful and states, "How did I get skin cancer? I don't believe in tanning!" Which response by the nurse is indicated at this time?
A) "Can you tell me more about your feelings?" B) "This is unusual, as skin cancer normally only occurs in sunbathers." C) "Sun exposure can happen as we carry out our daily activities." D) "We frequently never find out why cancer strikes."