A client arrives to a clinic appointment reporting sexual dysfunction for the past three months. Which condition should the nurse expect to see in the client’s medical record?

Deep vein thrombosis.

Hypertension.

Fungal infection.

Bacterial infection.

Answer and Explanation

The Correct Answer is B

Choice A reason: Deep vein thrombosis causes pain and swelling but is not typically linked to sexual dysfunction. Sexual dysfunction often stems from vascular, neurological, or hormonal issues, like those associated with hypertension. DVT is unlikely to be noted in the record, as it lacks a direct physiological connection to the reported symptom.

Choice B reason: Hypertension is commonly associated with sexual dysfunction, as it impairs vascular function, reducing blood flow critical for sexual response. Medications like beta-blockers also contribute. The nurse should expect hypertension in the record, as it is a prevalent cause, supported by evidence linking cardiovascular health to sexual function.

Choice C reason: Fungal infections, like candidiasis, may cause localized discomfort but are not primary causes of sexual dysfunction. Dysfunction typically involves systemic or vascular issues, not superficial infections. The record is unlikely to note fungal infection as the cause, as it lacks a direct link to the client’s three-month history.

Choice D reason: Bacterial infections may cause systemic symptoms but are not strongly linked to sexual dysfunction unless involving the genitourinary tract, which is not specified. Hypertension is a more likely cause due to its vascular impact. The record is less likely to note bacterial infection as the primary contributor to this symptom.

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Correct Answer is B

Explanation

Choice A reason: Determining who brought the coffee is irrelevant to addressing the client’s dietary needs. A clear liquid diet includes black coffee, as it is transparent and easily digested. The priority is ensuring dietary compliance, not investigating staff actions, which does not impact the client’s immediate care or safety.

Choice B reason: Reminding the client that no milk or creamer can be added ensures adherence to a clear liquid diet, which includes black coffee. Coffee without additives is transparent and digestible, fitting dietary guidelines. This action educates the client, prevents dietary violations, and maintains the therapeutic purpose of the prescribed diet.

Choice C reason: Consulting the dietician is unnecessary, as black coffee is standard in clear liquid diets per nutritional guidelines. This action delays care and overcomplicates a straightforward issue. The nurse can directly clarify that coffee is allowed without additives, ensuring compliance without external consultation.

Choice D reason: Removing the coffee is incorrect, as black coffee is permitted in a clear liquid diet. This action unnecessarily restricts the client’s intake and may cause confusion or dissatisfaction. The nurse should instead educate the client about proper consumption, ensuring dietary adherence while maintaining patient comfort.

A. Newly pregnant women who are attending a well-baby seminar. B. Older adults who are preparing to retire from the workforce. C. Adolescents who are learning to abstain from recreational drug use. D. Men who are willing to admit that they have a drinking problem.

Correct Answer is C

Explanation

Choice A reason: Newly pregnant women benefit from informational teaching about prenatal care, but role-playing is less effective for this group. Their focus is on factual knowledge, like nutrition or labor preparation. Role-playing is better suited for behavioral change, making it less impactful for this group’s educational needs.

Choice B reason: Older adults preparing for retirement need guidance on financial or lifestyle adjustments, where role-playing is less effective. Didactic or discussion-based teaching better addresses their needs. Role-playing suits behavioral skill-building, which is not the primary focus for this group, making it a less beneficial method.

Choice C reason: Adolescents learning to abstain from drugs benefit from role-playing, as it builds skills to resist peer pressure and practice refusal strategies. This interactive method engages teens, reinforcing behavioral change through simulated scenarios. Evidence supports role-playing for adolescent substance abuse prevention, making it highly effective for this group’s needs.

Choice D reason: Men admitting a drinking problem benefit from support groups or counseling, but role-playing is less tailored to their needs. Their focus is on emotional processing and coping strategies. Role-playing is more effective for skill-building in social contexts, like drug refusal, than for addressing established addiction.

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A client arrives to a clinic appointment reporting sexual dysfunction for the past three months. Which condition should the nurse expect to see in the client’s medical record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse observes that a client on a clear liquid diet has a cup of coffee on the breakfast tray. Which action should the nurse implement?

Correct Answer is B

Explanation

The nurse wants to use role-playing as a teaching technique. Which group is most likely to benefit from this teaching method?

Correct Answer is C

Explanation

Which assessment is most important for the nurse to perform prior to the application of a heating pad?

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