The nurse is instructing a client about the medication sildenafil (Viagra). Which statement on the part of the client indicates that this teaching has
... [Show More] been effective?
A.
"Viagra works by decreasing blood flow to the penis."
B.
"I can take Viagra at the same time I take my daily alpha-adrenergic blocker."
C.
"Viagra should be taken with food."
D.
"I can take only one pill in a 24-hour period."
D.
"I can take only one pill in a 24-hour period."
Which of the following terms describes involuntary tightening of the pelvic muscles that prevents penetration from occurring?
A.
Genito-pelvic pain/penetration disorder
B.
Vaginismus
C.
Dyspareunia
D.
Female orgasmic disorder
B.
Vaginismus
The nurse is planning care for a client with female orgasmic disorder. Which of the following elements would least likely be included in the client's plan of care?
A.
Information on the use of vibrators and other mechanical aids
B.
Referral to a sex therapist
C.
Instruction on how to obtain and use vaginal dilators
D.
Teaching on how to perform pelvic floor exercises
C.
Instruction on how to obtain and use vaginal dilators
A 30-year-old client is concerned that he will become impotent after experiencing difficulty sustaining an erection during a recent sexual encounter. What is the nurse's best response to this client's concerns?
A.
"A medical diagnosis of erectile dysfunction is not made until a man has experienced erectile difficulties for a period of at least 3 months."
B.
"An occasional incident like this is normal and common."
C.
"Erectile dysfunction is the correct term for inability to achieve or sustain an erection."
D.
"Sexually transmitted infections may result in sexual problems in adults."
B.
"An occasional incident like this is normal and common."
A male client tells the nurse that he has no idea why his wife wants to stay married to him because he has not been able to "perform" sexually since his prostate surgery. Based on the client's statement, which nursing diagnosis would be most appropriate?
A.
Situational Low Self-Esteem
B.
Ineffective Coping
C.
Hormonal Imbalance
D.
Sexual Dysfunction
A.
Situational Low Self-Esteem
The nurse is teaching a client about sexual activity during the pregnancy. Which of the client statements indicate that this teaching has been successful?
A.
"Pregnant women are most likely to experience sexual difficulties during the third trimester."
B.
"It's a good idea to avoid vaginal sex during the last few weeks of pregnancy, so I don't risk hurting the baby."
C.
"The elevated androgen levels that accompany pregnancy might reduce my desire for sex."
D.
"Sexual dysfunction is uncommon during pregnancy, although many women suffer from low desire during the postpartum period."
A.
"Pregnant women are most likely to experience sexual difficulties during the third trimester."
A postmenopausal client says to the nurse, "I've lost interest in sex over the past few months, but that's normal for women my age." Based on the client's statement, which nursing diagnosis would be most appropriate?
A.
Situational Low Self-Esteem
B.
Readiness for Enhanced Relationship
C.
Readiness for Enhanced Communication
D.
Deficient Knowledge
D.
Deficient Knowledge
A client who gave birth 10 weeks ago via cesarean section tells the nurse that she is having difficulty resuming sexual relations with her husband. She reports both reduced desire for sex and pain upon penetration. What is the nurse's best response to this client?
A.
"Based on the symptoms you're reporting, I'm concerned you might be experiencing a postpartum mood disorder."
B.
"These problems are common during the postpartum period and usually resolve with time."
C.
"Are you breastfeeding? If so, switching to formula will help resolve these issues."
D.
"Most women don't report these sorts of problems unless they've delivered vaginally."
B.
"These problems are common during the postpartum period and usually resolve with time."
The nurse is caring for a client with erectile dysfunction (ED). Which medication(s) should the nurse anticipate being prescribed for this client? Select all that apply.
A.
Methylphenidate (Ritalin)
B.
Buspirone (BuSpar)
C.
Tadalafil (Cialis)
D.
Sildenafil (Viagra)
E.
Vardenafil (Levitra)
C.
Tadalafil (Cialis)
D.
Sildenafil (Viagra)
E.
Vardenafil (Levitra)
A 45-year-old female client tells the nurse that she has not had any interest in sex for about 8 months. During this time, she has also had difficulty with arousal. Which response by the nurse is best?
A.
"You are not alone. Lack of interest and arousal is the most common sexual problem reported by female clients."
B.
"Don't worry; all women go through periods where they are uninterested in sex."
C.
"A lack of interest in sex is a normal consequence of the aging process, and it often begins around the time a woman enters menopause."
D.
"It sounds like you might be experiencing female sexual interest/arousal disorder, although your symptoms need to be present for 12 full months before this diagnosis applies."
A.
"You are not alone. Lack of interest and arousal is the most common sexual problem reported by female clients."
A 25-year-old client who is taking fluoxetine (Prozac) to treat depression reports decreased sexual desire since starting the medication. What can the nurse anticipate with regard to changes in the client's pharmacological regimen?
A.
Immediate discontinuation of fluoxetine therapy
B.
Addition of bupropion to the client's drug regimen
C.
Addition of flibanserin to the client's drug regimen
D.
Replacement of fluoxetine with paroxetine therapy
B.
Addition of bupropion to the client's drug regimen
A nurse is gathering the health history of a client with erectile dysfunction (ED). Which finding(s) could indicate a possible cause for the client's ED? Select all that apply.
A.
Blood pressure of 118/68 mmHg
B.
Body mass index (BMI) of 24.5
C.
Treatment for type 2 diabetes mellitus for 7 years
D.
Alcohol intake of 4 to 6 beers each day
E.
Engaging in moderate exercise twice a week
C.
Treatment for type 2 diabetes mellitus for 7 years
D.
Alcohol intake of 4 to 6 beers each day [Show Less]