A male client comes to the clinic with concerns of erectile dysfunction (ED). Which information is most important for the nurse to obtain?
Frequency of sexual activity.
Environmental toxin exposure.
Familial history of diabetes.
Current medication regimen.
The Correct Answer is D
Choice A reason: Frequency of sexual activity can provide useful information about the client's sexual health and habits, but it is not the most critical information needed to address erectile dysfunction. The nurse needs to determine if there are any immediate factors contributing to ED, such as medication side effects.
Choice B reason: Environmental toxin exposure can have long-term health effects, including on sexual function. However, it is not the most urgent factor to consider when evaluating a client with erectile dysfunction. Immediate information about medications and medical history is more pertinent.
Choice C reason: Familial history of diabetes is important because diabetes can affect erectile function due to vascular and neurological complications. Yet, while this background information is useful, it is not the most immediate concern compared to potential medication side effects.
Choice D reason: The current medication regimen is the most important information for the nurse to obtain. Many medications can contribute to erectile dysfunction as a side effect. By identifying the medications the client is taking, the nurse can determine if ED might be a side effect and discuss possible adjustments or alternatives with the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: These vital signs are within normal limits and do not indicate an immediate concern that requires reporting to the healthcare provider.
Choice B reason: This set of vital signs shows a heart rate of 110 beats/minute, which is tachycardia, and a blood pressure of 88/56 mmHg, which is hypotension. Both of these findings, combined with the client's fever, could indicate sepsis or other complications that require immediate attention.
Choice C reason: These vital signs are relatively stable and do not indicate a critical issue that requires immediate reporting.
Choice D reason: While these vital signs show an elevated respiratory rate, they are not as critical as the vital signs in Choice B, which show hypotension and tachycardia.
Correct Answer is B
Explanation
Choice A reason: Stool with fatty streaks is not a common finding in ulcerative colitis. It is more associated with malabsorption syndromes.
Choice B reason: Blood in the stool is a significant finding in ulcerative colitis, especially during an acute exacerbation. It indicates active inflammation and potential bleeding in the colon, which requires immediate attention and intervention.
Choice C reason: Clay-coloured stool usually indicates a problem with the bile ducts or liver, such as bile duct obstruction. It is not specific to ulcerative colitis.
Choice D reason: Hard pellets of stool indicate constipation, which is not typically associated with ulcerative colitis, especially during an acute exacerbation where diarrhea is more common.
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