Book questions chapt. 23,67
In teaching a client about primary prevention of skin cancer, which instruction does the nurse include?
"Avoid sun exposure between 11 a.m. and 3 p.m."
The nurse is educating a group of young men about testicular self-examination (TSE). Which statement by a member of the group indicates teaching has been effective?
"I will look and feel for any lumps or changes to my testes."
The nurse observes an assistive personnel (AP) interacting with a client with a pressure injury. Which AP action requires intervention by the nurse?
Massages bony prominences.
Which statement by a client with psoriasis indicates to the nurse that additional teaching about the client's condition is required? (Select all that apply.)
"I am glad that this drug therapy will cure my condition." "A tanning bed will supply the ultraviolet light I need."
A client with erectile dysfunction has been prescribed a PDE-5 inhibitor. Which client statement demonstrates that nursing teaching about the medication has been effective?
"I have to be sure to be careful when I sit up or stand up."
A client with a bacterial skin infection is being taught home care for treatment of this infection. Which statement by the client indicates a need for further teaching?
"I may stop using the topical antibiotic when the lesions disappear."
Which statement by a client with psoriasis indicates that teaching by the nurse has been effective?
"If I plan to get pregnant while taking tazarotene, I'll talk with my provider."
A client has been diagnosed with tinea corporis (ringworm). To avoid spreading the infection, what does the nurse suggest?
"Keep the site covered with a bandage."
Which client will the nurse prioritize when teaching about prostate cancer screening?
A 50-year-old African American
The nurse is caring for four clients. With which client does the nurse discuss prostate cancer screening?
A 57 year old who has fathered four children
A client with testicular cancer is worried about sterility and the ability to conceive children later. To which resource does the nurse refer the client before surgery takes place?
A sperm bank facility
The emergency nurse is assigned to care for four clients. Which client does the nurse see first?
Adolescent with an erection for "10 or 11 hours" who is reporting severe pain
A client has undergone transurethral resection of the prostate (TURP). Which intervention does the nurse incorporate in the postoperative plan of care? (Select all that apply.)
Assist to mobilize as soon as permitted. Administer antispasmodic medications.
A client with benign prostatic hyperplasia is being discharged with a prescription for prazosin. Which teaching will the nurse include? (Select all that apply.)
Avoid drugs used to treat erection problems. Keep all appointments for follow-up laboratory testing. Be careful when changing positions.
The nurse is teaching a client about decreasing the risk for melanomas and other skin cancers. Which primary prevention technique is most important for the nurse to include?
Avoiding or reducing skin exposure to sunlight
The nurse is teaching a client with loss of sensation and movement in the lower extremities secondary to spinal cord injury. Which daily prevention strategy to protect skin integrity does the nurse include in the teaching plan?
Lift hips off the chair at least every hour.
A client has an odorous, purulent wound, and reports feeling embarrassed. Which nursing intervention is appropriate?
Change the dressing frequently.
During morning rounds, the nurse discovers that an older adult client has been incontinent during the night. To protect the skin, what does the nurse do first?
Clean and dry the client's skin.
The nurse is developing a teaching plan for a client diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) infection. Which teaching will the nurse include?
Cover the infected area with a clean, dry bandage.
A client with obesity requires frequent dressing changes for an infection on the foot. Which nursing assessment is the priority?
Determine whether the client can reach the affected area.
The nurse is preparing to perform a dressing change for a client who has methicillin-resistant Staphylococcus aureus (MRSA) infection. What precaution will the nurse take while performing this dressing change?
Don disposable gloves.
A client with a foot ulcer says, "I feel helpless." What is the appropriate nursing response? (Select all that apply.)
Encourage participation in care of the wound. Ask what coping strategies have worked in the past.
A young adult with testicular cancer is admitted for unilateral orchiectomy and retroperitoneal lymph node dissection. Which task will the nurse delegate to assistive personnel (AP)?
Encourage the client to cough and deep-breathe after surgery.
Which nursing interventions can the nurse working in a long-term care facility delegate to a nursing assistant?
Every 2 hours, reposition a client who has had a stroke and is incontinent.
After returning from transurethral resection of the prostate, the client's urine in the continuous bladder irrigation system is a burgundy color. Which client needs does the nurse anticipate will be prescribed after the surgeon sees the client? (Select all that apply.)
Monitoring for anemia Antispasmodic drugs
Which assessment finding is the priority for the nurse to report to the health care provider?
Painless testicular lump
What will the nurse include in teaching to assist the client with BPH to address incontinence?
Practice Kegel exercises to improve muscle control.
An older adult client who is bedridden has a documented history of protein deficiency. For which condition will the nurse monitor and attempt to prevent?
Pressure injury development
A client reports taking a supplement that his partner recommended for benign prostatic hyperplasia (BPH). Which supplement does the nurse anticipate the client is taking?
Saw palmetto
The nurse is evaluating the effectiveness of interventions for pressure injury management. Which laboratory will the nurse monitor?
Serum albumin
The nurse is caring for a client who has several infected lesions on both arms. The client is afebrile and does not have enlarged regional lymph nodes. The nurse notifies the provider who will most likely order which medication?
Topical mupirocin