During an examination of an aging man, the nurse recognizes that normal changes to expect would be:

Correct Answer: B

Rationale: Rationale: 1. As men age, there is a decrease in testosterone levels leading to shrinkage of the testes and penis. 2. Decrease in penile size is a normal age-related change due to reduced blood flow. 3. Option A is incorrect as scrotal color usually remains unchanged. 4. Option C is incorrect as testes and scrotum tend to shrink rather than enlarge. 5. Option D is incorrect as rugae decrease with age due to decreased elasticity.

Correct Answer: B

Rationale: The correct answer is B: facultative water reabsorption. This process occurs in the collecting ducts of the nephron in the kidney, where water reabsorption is regulated based on the body's hydration levels. When solutes like sodium are reabsorbed, water follows passively through aquaporin channels, adjusting the amount of water reabsorbed according to the body's needs. A: Obligatory water reabsorption refers to the constant reabsorption of water in the proximal tubule and descending loop of Henle, not regulated based on hydration levels. C: Osmotic water reabsorption is a general term referring to the movement of water based on osmotic gradients, not specifically regulated by solute reabsorption. D: Renin-angiotensin water reabsorption involves the renin-angiotensin-aldosterone system in response to low blood pressure, focusing on sodium reabsorption rather than direct regulation of

Correct Answer: A

Rationale: The correct answer is A: Use the Tanner scale on the five stages of sexual development. The Tanner scale is a standardized tool used to assess the stages of sexual development in children and adolescents. By using this scale, the nurse can provide the girl with a clear and objective understanding of her current stage of development and what to expect in the future. This approach helps the young girl feel informed and reassured about the normal process of puberty. Choice B is incorrect because comparing the girl's development with other girls her age may lead to unnecessary comparisons and anxiety. Choice C is incorrect as the Jacobsen table based on height and weight data is not relevant for assessing sexual development. Choice D is incorrect as simply reassuring the girl without providing detailed information may not address her concerns effectively.

Correct Answer: B

Rationale: The correct answer is B because hormone replacement therapy (HRT) commonly causes side effects such as fluid retention, breast tenderness, and vaginal bleeding. This information is important for the nurse to communicate to the patient, as it aligns with the symptoms the woman is experiencing. Choice A is incorrect as even low doses of HRT can still result in side effects. Choice C is incorrect because vaginal bleeding with HRT is not very unusual and does not necessitate immediate evaluation unless it is severe. Choice D is incorrect as adjusting the dose without proper evaluation could be dangerous and is not the appropriate first step in addressing the patient's concerns.

Correct Answer: D

Rationale: The correct answer is D because smoking increases the risk of cardiovascular complications with oral contraceptives. By asking about the number of cigarettes smoked per day, the nurse can assess the level of risk. Choice A is incorrect as it is not directly related to the safety of oral contraceptives. Choice B is important for overall sexual health but not directly related to the safety of oral contraceptives. Choice C is vague and does not provide specific information about potential risks associated with oral contraceptives.