Nokea
Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?
- A. Age
- B. Medication use
- C. Sexual history
- D. Undescended testicle
Correct Answer: B
Rationale: Certain medications such as antihypertensive drugs, antidepressants, narcotics, etc. can cause sexual dysfunction in men. Impotence is not a normal part of aging. Undescended testicle is not indicative of ED. Sexual history is not indicative of ED.
You may also like to solve these questions
Which pharmacologic agent poses the greatest risk for urinary retention in a client with benign prostatic hyperplasia (BPH)?
- A. Muscle relaxers
- B. Antihypertensives
- C. Nitrates
- D. Antihistamines
Correct Answer: D
Rationale: Antihistamines and over-the-counter cold medications should be avoided in clients with BPH due to the increase in urinary retention properties. Muscle relaxers are commonly prescribed for treatment of urinary retention. Nitrates and antihypertensive medications do not cause significant risk in the management of BPH.
The client with prostatitis presents with low back pain, dysuria, and unusual sensation following ejaculation. Which treatment(s) does the nurse anticipate being prescribed? Select all that apply.
- A. Analgesics
- B. Sitz bath
- C. Antibiotics
- D. Abstinence
- E. Treatment of sexual partner
Correct Answer: A,B,C,E
Rationale: Prostatitis is an inflammation of the prostate gland that is most often caused by microorganisms. Treatment consists of up to 30 days of antibiotic therapy, mild analgesics, and sitz bath. Sexual partners also need to be treated. Regular drainage of the prostate gland through masturbation or intercourse can be helpful in decreasing the inflammation and discomfort.
A client with erectile dysfunction has opted to self-administer a urethral suppository to produce an erection. Which agent would be used?
- A. Sidenafil
- B. Vardenafil
- C. Alprostadil
- D. Papaverine
Correct Answer: C
Rationale: Alprostadil is the drug used for self-administration via a urethral suppository. Sidenafil and vardenafil are examples of phosphodidesterase inhibitors that are taken orally. Papaverine with pheentolamine is used for self-injection into the corpora cavernosa to achieve an erection.
The clinic nurse is assessing a new male client. Which nursing assessment finding would cause the nurse to suspect sterility in this client?
- A. Uncircumcised penis
- B. Recurrent urinary tract infections (UTI)
- C. Multiple sex partners
- D. Mumps at age 15 years
Correct Answer: D
Rationale: Viral mumps infection that occurs after puberty can be a cause of orchitis, which may result in testicular atrophy and sterility. Uncircumcised penis, UTIs, and number of sex partners are not indicated with sterility.
After examination, a client is found to have a prostatic nodule and is scheduled for prostatic-specific antigen (PSA) testing. When the nurse is reviewing the results, which of the following would indicate that the nodule is malignant?
- A. 4 ng/mL.
- B. 7 ng/mL.
- C. 4 ng/mL.
- D. 12 ng/mL.
Correct Answer: D
Rationale: After a prostatic nodule is detected, prostate-specific antigen testing may be done. A PSA greater than 4 ng/mL is the basis for performing more definitive diagnostic procedures, and a PSA greater than 10 ng/mL indicates a prostatic malignancy. A PSA greater than 80 ng/mL indicates advanced metastatic disease.