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 ["A","C","D"]

Explanation

Choice A reason: Hard pellets indicate constipation, potentially due to dehydration, low fiber, or medication side effects. This warrants follow-up to prevent impaction or discomfort. Constipation can lead to straining, hemorrhoids, or bowel obstruction, requiring interventions like hydration, dietary changes, or laxatives to restore normal bowel function and client comfort.

Choice B reason: Formed but soft stools are normal, reflecting healthy bowel function with adequate hydration and fiber. This description does not require follow-up, as it indicates no immediate pathology. Normal stools vary in consistency, but soft, formed stools align with optimal gastrointestinal health, requiring no further nursing intervention at this time.

Choice C reason: Solid stools with red streaks suggest fresh blood, possibly from hemorrhoids, fissures, or lower gastrointestinal bleeding. This requires urgent follow-up to identify the source and assess bleeding severity. Blood in stools can indicate serious conditions like colorectal pathology, necessitating diagnostic evaluation and intervention to prevent complications.

Choice D reason: Tarry stools indicate melena, suggesting upper gastrointestinal bleeding, possibly from ulcers or gastritis. This is a critical finding requiring immediate follow-up to assess hemoglobin, vital signs, and bleeding source. Melena can lead to anemia or shock if untreated, making prompt nursing assessment and intervention essential for client safety.

Choice E reason: Brown liquid stools suggest diarrhea, potentially from infection, medication, or dietary issues. This warrants follow-up to assess dehydration, electrolyte imbalance, or infectious causes like C. difficile. Diarrhea risks skin breakdown and fluid loss, requiring nursing interventions like fluid replacement and stool testing to address underlying causes.

A. Discontinue the use of the nasal cannula. B. Place padding around the cannula tubing. C. Apply lubricant to the cannula tubing. D. Decrease the flow rate to 1 L/minute.

Correct Answer is B

Explanation

Choice A reason: Discontinuing the nasal cannula risks worsening hypoxia, as the client’s oxygen saturation is 92%. The lesion is likely from tubing pressure, not oxygen delivery. Padding addresses the skin issue without compromising oxygenation, making discontinuation an inappropriate intervention that could harm the client’s respiratory status.

Choice B reason: Placing padding around the cannula tubing prevents further pressure on the zygomatic lesion, promoting skin healing. The lesion likely results from tubing friction or pressure. This intervention maintains oxygen delivery at 4 L/minute, ensuring the client’s 92% saturation is supported while addressing the skin integrity issue effectively.

Choice C reason: Applying lubricant to the cannula tubing may reduce friction but does not address pressure causing the lesion. Lubricants are more suitable for nasal dryness. Padding is more effective, as it cushions the tubing, preventing further skin breakdown while maintaining oxygen delivery for the client’s needs.

Choice D reason: Decreasing the flow rate to 1 L/minute may worsen hypoxia, as 4 L/minute maintains 92% saturation. The lesion is due to tubing pressure, not flow rate. Padding addresses the skin issue without altering oxygen therapy, making flow reduction an ineffective and potentially harmful intervention for this scenario.

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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 unlicensed assistive personnel (UAP) describes the appearance of the bowel movements of several clients. Which description(s) warrant additional follow-up by the nurse? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

The nurse observes an open skin lesion across the right zygomatic bone of a client receiving oxygen per nasal cannula at 4 L/minute. The client’s oxygen saturation level is 92%. Which intervention should the nurse implement?

Correct Answer is B

Explanation

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