Exemplar 19.D Sexual Dysfunction

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) Treatment for type 2 diabetes mellitus for 7 years C) Body mass index (BMI) of 24.5 D) Alcohol intake of 4 to 6 beers each day E) Engaging in moderate exercise twice a week

BD

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) "An occasional incident like this is normal and common." B) "Sexually transmitted infections may result in sexual problems in adults." C) "Erectile dysfunction is the correct term for inability to achieve or sustain an erection." D) "A medical diagnosis of erectile dysfunction is not made until a man has experienced erectile difficulties for a period of at least 3 months."

A

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) Ineffective Coping B) Situational Low Self-Esteem C) Hormonal Imbalance D) Sexual Dysfunction

B

What should the nurse include in the plan of care for a client experiencing erectile dysfunction due to a chronic health condition? Select all that apply. A) Information about herbal supplements that can help treat ED B) Information on prescription medications used in ED treatment C) Brief description of types of devices and surgeries available to help with ED D) Explanation of how to discontinue any prescribed medications that may be contributing to the client's ED E) Information on the exact cause of the client's ED

BC

The nurse is instructing a client about the medication sildenafil (Viagra). Which statement on the part of the client indicates that this teaching has been effective? A) "Viagra should be taken with food." B) "I can take Viagra at the same time I take my daily alpha-adrenergic blocker." C) "I can take only one pill in a 24-hour period." D) "Viagra works by decreasing blood flow to the penis."

C

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) Sildenafil (Viagra) B) Methylphenidate (Ritalin) C) Vardenafil (Levitra) D) Buspirone (BuSpar) E) Tadalafil (Cialis)

ACE

A client asks for a prescription for tadalafil (Cialis). Given this information, what should the nurse ask the client prior to creating a plan of care? A) "Do you have diabetes mellitus?" B) "Are you comfortable taking this medication twice per day?" C) "Do you have any sexually transmitted infections?" D) "Do you use nitroglycerine?"

D

A client reports that he is having difficulty ejaculating during sexual activity, even though he is able to maintain an erection for 30-45 minutes. The client tells the nurse that this problem began about 6 months ago and has been a source of significant worry for both him and his partner. Based on this description, the client is most likely affected by which of the following conditions? A) Retrograde ejaculation B) Delayed ejaculation C) Erectile dysfunction D) Male hypoactive sexual desire disorder

B

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) "Don't worry; all women go through periods where they are uninterested in sex." B) "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." C) "You are not alone. Lack of interest and arousal is the most common sexual problem reported by female clients." D) "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."

C

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) Referral to a sex therapist B) Information on the use of vibrators and other mechanical aids C) Teaching on how to perform pelvic floor exercises D) Instruction on how to obtain and use vaginal dilators

D

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) "The elevated androgen levels that accompany pregnancy might reduce my desire for sex." 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) "Sexual dysfunction is uncommon during pregnancy, although many women suffer from low desire during the postpartum period." D) "Pregnant women are most likely to experience sexual difficulties during the third trimester."

D

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) "Are you breastfeeding? If so, switching to formula will help resolve these issues." B) "Most women don't report these sorts of problems unless they've delivered vaginally." C) "These problems are common during the postpartum period and usually resolve with time." D) "Based on the symptoms you're reporting, I'm concerned you might be experiencing a postpartum mood disorder."

C

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 Communication C) Readiness for Enhanced Relationship D) Deficient Knowledge

D

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) Addition of bupropion to the client's drug regimen B) Immediate discontinuation of fluoxetine therapy C) Addition of flibanserin to the client's drug regimen D) Replacement of fluoxetine with paroxetine therapy

A

Which of the following terms describes involuntary tightening of the pelvic muscles that prevents penetration from occurring? A) Female orgasmic disorder B) Vaginismus C) Genito-pelvic pain/penetration disorder D) Dyspareunia

B