The patient is a 45-year-old African-American male who has come ...

[123654777]

The patient is a 45-year-old African-American male who has come in for a routine annual physical. Which type of preventive screening does the nurse discuss with the patient?
 
  a. Digital rectal examination of the prostate
  b. Complete eye examination every year
  c. CA 125 blood test once a year
  d. Colonoscopy every 3 years

Question 2

An advanced practice nurse is preparing to assess the external genitalia of a 25-year-old American woman of Chinese descent. Which action will the nurse do first?
 
  a. Place the patient in the lithotomy position.
  b. Drape the patient to enhance patient comfort.
  c. Assess the patient's feelings about the examination.
  d. Ask the patient if she would like her mother to be present in the room.

[joneynes]

Answer to Question 1

ANS: A
Recommended preventive screenings include a digital rectal examination of the prostate and prostate-specific antigen test starting at age 50. CA 125 blood tests are indicated for women at high risk for ovarian cancer. Patients over the age of 65 need to have complete eye examinations yearly. Colonoscopy every 10 years is recommended in patients 50 years of age and older.

Answer to Question 2

ANS: C
Patients who are Chinese American often believe that examination of the external genitalia is offensive. Before proceeding with the examination, the nurse first determines how the patient feels about the procedure and explains the procedure to answer any questions and to help the patient feel comfortable with the assessment. Once the patient is ready to have her external genitalia examined, the nurse places the patient in the lithotomy position and drapes the patient appropriately. Typically, nurses ask adolescents if they want a parent present during the examination. The patient in this question is 25 years old; asking if she would like her mother to be present is inappropriate.

[123654777]

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