The nurse is collecting admission data from a patient recently diagnosed with benign prostatic hyperplasia. Which symptoms should the nurse expect the patient to report? (Select all that apply.)
a. Low back pain
b. Dribbling after urination
c. Difficulty initiating an erection
d. Difficulty maintaining an erection
e. Difficulty starting the urine stream
ANS: B, E
Symptoms related to obstruction include decrease in the size or force of the urinary stream, difficulty in starting a stream, dribbling after urination is thought to be completed, urinary retention, and a feeling that the bladder is not empty. The patient may also experience overflow incontinence or an interrupted stream, where the urine stops midstream and then starts again. A. Pain may be related to cancer. C. D. Prostate hyperplasia does not affect erections.
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Vascular sounds such as bruits, heard in the abdomen during physical assessment, may indicate which of the following? (Select all that apply.)
a. Obstructed portal circulation b. Dilated vessels c. Tortuous vessels d. Constricted vessels e. Presence of an abscess
The methodology to assure the request for proposal (RFP) is structured to ensure successful system selection includes which of the following criteria?
1. Develop well constructed questions 2. Create a long list of elaborate questions 3. Request a quick review of the organization's needs 4. Selection of the final team to implement the system 5. Randomly ranked requirements
The client's nursing diagnoses include Risk for ineffective airway clearance related to decreased respiratory effort postoperatively. Which specific client assessment data should the nurse monitor in the client's plan of care?
1. Peak expiratory flow rate at 2% less than the client baseline 2. Nasal flaring and intercostal retractions with each inspiration 3. Frequent coughing and large amounts of clear, watery sputum 4. Arterial blood gases reveal PaO2 97 mm Hg and PaCO2 37 mm Hg
With regard to sociocultural risk factors, nursing care should be based on the premise that:
a. risk for individual development of a psychiatric disorder usually remains constant over time. b. all members of ethnic groups have the same risk for developing a psychiatric disorder. c. risk factors interact constantly, so different factors become important at different times. d. sociocultural risk factors affect assessment and nursing care planning more than implementation of care.