A nurse is caring for a young adult client who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle. Which of the following responses should the nurse make?
"You should focus on recovering from your cancer right now."
"There are other ways to express intimacy besides intercourse."
"I'm sure any partner will understand that you have no control over this."
"The removal of a single testicle will not prevent you from having an erection."
The Correct Answer is D
A. "You should focus on recovering from your cancer right now.": This is incorrect because it dismisses the client's concerns about sexual function and does not address their immediate emotional and psychological needs.
B. "There are other ways to express intimacy besides intercourse.": This is a valid point, but it does not directly address the specific concern about maintaining sexual function, which the client may need to hear for reassurance.
C. "I'm sure any partner will understand that you have no control over this.": This is incorrect because it does not provide specific reassurance about the effects of the surgery on sexual function and can come across as dismissive.
D. "The removal of a single testicle will not prevent you from having an erection.": This is correct as the removal of one testicle does not generally impact the ability to achieve or maintain an erection, and it provides specific reassurance about sexual function.
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Related Questions
Correct Answer is D
Explanation
A. A client who has Alzheimer's disease and requires assistance to the bathroom: This is important but less urgent compared to the risk of worsening condition in a client with a decreased level of consciousness.
B. A client who has diverticulitis and a temperature of 38.3° C (100.9° F): This is a concern, but it is not as immediately critical as a decreased level of consciousness, which may indicate a more severe underlying issue.
C. A client who has a prescription for a sputum specimen to be obtained before breakfast: While important for diagnostic purposes, this is less urgent compared to a decreased level of consciousness.
D. A client who sustained a head injury 2 days ago and has a decreased level of consciousness: This is correct because a decreased level of consciousness in a client with a recent head injury could indicate a serious complication, such as increased intracranial pressure or worsening of their condition, requiring immediate assessment and intervention.
Correct Answer is A
Explanation
A. Changed mental status: This is a common indicator of a bladder infection in older adults, who may present with confusion or altered mental status instead of classic symptoms like dysuria or frequency.
B. WBC count 9,000/mm³ (5000 to 10,000/mm³): This WBC count is within the normal range and does not specifically indicate a bladder infection.
C. Diminished reflexes: This is not a typical indicator of a bladder infection and may suggest other neurological issues.
D. Temperature 37.3° C (99.1° F): This temperature is within the normal range and does not suggest an infection unless elevated or accompanied by other symptoms.
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