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The nurse is assessing a male patient who is taking the following medications and tells the nurse that he has had difficulty in achieving an erection. Which of the following medications may cause erectile dysfunction (ED)?
- A. Finasteride
- B. Tamsulosin
- C. Atenolol
- D. Alfuzosin
Correct Answer: C
Rationale: Atenolol, a beta-blocker, is known to cause erectile dysfunction as a side effect. Finasteride, tamsulosin, and alfuzosin are used to treat benign prostatic hyperplasia but are less commonly associated with erectile dysfunction.
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The nurse is providing teaching to a patient who is having an abdominal ultrasound to evaluate pelvic pain. Which of the following instructions should the nurse include?
- A. Plan to have someone drive you home after the procedure.
- B. Receive IV contrast solution during the procedure.
- C. Expect mild abdominal cramps after the procedure.
- D. Drink several glasses of fluids before the procedure.
Correct Answer: D
Rationale: A full bladder is needed for many ultrasound procedures, so the nurse will have the patient drink fluids before arriving for the ultrasound. The other instructions are not accurate for this procedure.
Which of the following questions should the nurse ask when assessing a patient who has a history of benign prostatic hyperplasia (BPH)?
- A. Have you noticed any unusual discharge from your penis?
- B. Has there been any change in your sex life in the last year?
- C. Do you find it hard to initiate your urinary stream?
- D. Have you been experiencing any difficulty in achieving an erection?
Correct Answer: C
Rationale: Enlargement of the prostate blocks the urethra, leading to urinary changes. Benign prostatic hyperplasia is a common problem of older men. It can alter normal urination, causing retention and difficulty in initiating the urinary stream. The other questions address possible problems with infection or sexual difficulties but would not be helpful in determining whether there were functional changes caused by BPH.
The nurse is admitting a young adult female patient to the emergency department after an automobile accident and is scheduled for abdominal x-rays. Which of the following information is most important to report to the health care provider before the x-rays are obtained?
- A. Abdominal pain
- B. Positive hCG testing
- C. Temperature 38.9°C
- D. Bruising on the abdomen
Correct Answer: B
Rationale: A positive hCG test indicates pregnancy, and radiation from x-rays could harm the fetus, making this the most critical information to report. Abdominal pain, fever, and bruising are important but less urgent in this context.
The nurse is providing teaching to a patient who is having an endometrial biopsy. Which of the following instructions should the nurse include?
- A. Plan to have someone drive you home after the procedure.
- B. Receive IV contrast solution during the procedure.
- C. Expect mild abdominal cramps after the procedure.
- D. Drink several glasses of fluids before the procedure.
Correct Answer: C
Rationale: An endometrial biopsy may cause mild abdominal cramping after the procedure due to uterine manipulation. IV contrast is not used, and there is no need for a driver or to drink fluids beforehand.
A couple who has not been able to conceive is scheduled for a postcoital test for infertility. Which of the following information should the nurse provide to the couple in preparation for the test?
- A. Possible shoulder pain after the procedure
- B. Sedative medications used during the procedure
- C. Ways to determine the estimated time of ovulation
- D. How long to refrain from intercourse before the test
Correct Answer: C
Rationale: For the postcoital test, the couple should have intercourse at the estimated time of ovulation and then arrive for the test 2-8 hours after intercourse. The other instructions would be used for other types of fertility testing.