While performing prostate palpation, the nurse notes that the client expresses severe tenderness and discomfort during the procedure. The nurse should suspect which of the following conditions in the client?
1. Prostate cancer
2. Prostatitis
3. Enlargement of the prostate
4. Urinary tract infection
2
Rationale 1: The presence of extreme hardness or nodules is characteristic of prostate cancer.
Rationale 2: The prostate should feel smooth, firm, or rubbery, and extend no larger than 1 centimeter into the rectal area. This exam should not cause tenderness, which is an indication of inflammation.
Rationale 3: Enlargement of the prostate will cause urinary tract symptoms such as difficulty in starting a stream, or dribbling of urine.
Rationale 4: Urinary tract infections will cause painful and frequent urination.
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Harm to another's health or welfare through a failure to provide for basic needs or by placing the person's health or welfare at unreasonable risk is called
1. abuse. 2. neglect. 3. violence. 4. exploitation.
The nursing intervention that would be inappropriate in the immediate postprocedure care of a patient who has had a fiberoptic bronchoscopy would be to:
1. place the patient in a semi-Fowler's position. 2. offer fluids to assess swallowing ability. 3. assess for diminished breath sounds. 4. assess for stridor.
A patient taking a nonsteroidal anti-inflammatory drug (NSAID) tells you that the drug causes an upset stomach. What is your best response?
a. "Always take this drug with food or with milk." b. "Stop taking the drug and notify your prescriber." c. "Try chewing the drug instead of swallowing it whole." d. "Take the drug on an empty stomach to avoid vomiting."
What should the nurse educator teach as a common reason for difficulty in assessing for side effects of medications during pregnancy?
1. The mother is so uncomfortable with the pregnancy that she chooses to ignore the adverse effects. 2. Adverse effects of medications are not experienced as often with pregnant women. 3. Adverse effects of medications are often similar to common discomforts of pregnancy. 4. The mother has increased blood volume, so the drugs are not strong enough to produce side effects.