Which of the following would the nurse expect to be done to assess the size of the prostate?

Pelvic examination

Transillumination

Bladder percussion

Digital rectal examination

Answer and Explanation

The Correct Answer is D

A. Pelvic examination: A pelvic examination is generally used to assess the reproductive organs in females rather than the prostate. It does not provide a direct assessment of the prostate gland in males.
B. Transillumination: Transillumination is a technique used to detect fluid-filled cysts or masses in areas such as the scrotum or breast. It is not used to assess the prostate gland.
C. Bladder percussion: Bladder percussion is used to assess bladder size and fullness, typically to diagnose conditions related to bladder dysfunction. It does not provide information about the prostate.
D. Digital rectal examination: A digital rectal examination (DRE) is the standard method used to assess the size, shape, and consistency of the prostate gland. It allows the clinician to feel the prostate through the rectal wall and is essential for evaluating prostate health.

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Correct Answer is D

Explanation

A) Carotid bruits: Carotid bruits are associated with turbulent blood flow in the carotid arteries, often due to stenosis or atherosclerosis. While they are important to assess in cardiovascular evaluations, they are not specific indicators of congestive heart failure (CHF).
B) 4th heart sound (S4): An S4 heart sound is associated with decreased ventricular compliance and is often seen in conditions like hypertension and left ventricular hypertrophy. It is not specific to CHF but can be present in patients with heart failure.
C) Harsh holosystolic murmur at the apex: A harsh holosystolic murmur is characteristic of mitral regurgitation, which can contribute to heart failure. However, this type of murmur is not specifically used to diagnose CHF but rather to identify the underlying cardiac pathology that could lead to CHF.
D) 3rd heart sound (S3): The S3 heart sound, often described as a "gallop," is commonly associated with congestive heart failure. It occurs due to increased fluid volume and rapid ventricular filling, reflecting the heart's struggle to manage increased blood volume and pressure, making it a key sign of CHF.

A. BMI of 20 B. Peripheral neuropathy C. Immobility D. Hypoperfusion

Correct Answer is ["B","C","D"]

Explanation

A. BMI of 20: While a BMI of 20 is on the lower end of the normal range, it does not necessarily indicate a high risk for pressure injuries. Extreme low BMI may pose a risk, but a BMI of 20 alone is not a definitive factor in increasing pressure injury risk compared to the other listed conditions.
B. Peripheral neuropathy: Peripheral neuropathy impairs sensation in the skin, which reduces the client’s ability to feel pressure, pain, or discomfort. This diminished sensory perception increases the risk of developing pressure injuries as the client might not be aware of or respond to pressure-related issues.
C. Immobility: Immobility, or limited mobility, significantly raises the risk of pressure injuries because it prevents the client from frequently changing positions. Prolonged pressure on specific body areas can impede blood flow and lead to skin breakdown.
D. Hypoperfusion: Hypoperfusion indicates reduced blood flow to tissues, which can contribute to tissue ischemia and increase the risk of pressure injuries. Inadequate blood flow prevents adequate oxygen and nutrient delivery to the skin, making it more susceptible to damage.

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Which of the following would the nurse expect to be done to assess the size of the prostate?

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Naxlex Comprehensive Predictor Exams

The nurse suspects an older adult client has congestive heart failure. Which of the following did the nurse most likely assess in the client?

Correct Answer is D

Explanation

A nurse is performing a pressure injury risk assessment for a client. Which of the following findings increases the client's risk of a pressure injury?

Correct Answer is ["B","C","D"]

Explanation

During an abdominal examination, the nurse palpates a bulging area in the Right Lower Quadrant of a female patient. The nurse suspects that this mass could be associated with which of the following organs? (Select all that apply.)

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