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Chapter 34: Problem 383

An 80-year-old man comes to the clinic complaining of erectile dysfunction. Which question is most important for the nurse to ask? A. How often do you usually have intercourse? B. What medications do you take? C. When was the last time you had your prostate examined? D. Do you have any problems urinating?

Short Answer

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The most important question to ask is B. What medications do you take?

Step by step solution

01

Identify the Core Issue

The most important question to identify the possible cause of erectile dysfunction should provide information about factors directly affecting erectile function, including health conditions and treatments that might impair sexual function.
02

Consider Influential Health Factors

Medications and health conditions are known to influence erectile function significantly. Inquire about these to determine if they may be the underlying cause of the dysfunction.
03

Evaluate the Options

Option B inquires about medications, which can affect erectile function. This should be prioritized over frequency of intercourse (A), timing of previous prostate examination (C), and urinary problems (D), which are less direct in initially evaluating the cause of erectile dysfunction.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

NCLEX-RN Examination Preparation
As you prepare for the NCLEX-RN examination, understanding how to assess patients with erectile dysfunction is essential. The NCLEX-RN tests your ability to think critically about different scenarios. When faced with a question similar to the 80-year-old man with erectile dysfunction, it's crucial to prioritize the patient's information that can lead to identifying the possible cause of the symptom, a skill pivotal in NCLEX.

In preparing for these types of questions, focus on reviewing nursing assessment techniques that include taking patient history, understanding the pathophysiology of diseases, and the pharmacological impact on conditions such as erectile dysfunction. This implies having a strong grasp of pharmacology, including the side effects of medications that could potentially contribute to erectile dysfunction. Practicing with similar questions and mastering the step-by-step process of elimination will enhance your ability to select the most appropriate response during the exam.
Nursing Assessment Techniques
In the nursing assessment of erectile dysfunction, a comprehensive approach is necessary. This involves obtaining a detailed patient history and conducting a focused physical exam. Questions should cover topics such as existing medical conditions, psychological factors, lifestyle choices, and notably, medications that could contribute to erectile dysfunction.

A holistic approach also includes assessing the patient's emotional and psychological state due to the sensitive nature of erectile dysfunction. Techniques in your assessment may vary, but they all contribute to a complete understanding of the patient's health. By fostering a supportive environment, you encourage patients to disclose essential information for accurate diagnosis and treatment planning.
Pharmacology and Erectile Dysfunction
The relationship between pharmacology and erectile dysfunction is a critical component of nursing assessment. Many medications can cause or exacerbate this condition, including antihypertensives, antidepressants, and antipsychotics to name a few. As a nurse, an understanding of these pharmacological effects is paramount.

During an assessment, evaluating the list of a patient's medications for potential culprits is a primary step. Furthermore, pharmacological knowledge is not limited to identifying the problem; it also extends to recommending adjustments or alternative therapies. It's important to communicate with the healthcare team regarding the patient's medications and explore options that may mitigate the side effects, while still managing the underlying conditions. Patients may also benefit from education about the medications they are taking and the potential side effects on sexual function.

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Most popular questions from this chapter

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