A nurse is caring for a young adult patient who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle.
What responses should the nurse make?
There are other ways to express intimacy besides intercourse.
The removal of a single testicle will not prevent you from having an erection.
You should focus on recovering from your cancer right now.
I’m sure any partner will understand that you have no control over this.
The Correct Answer is B
Choice A rationale
While it’s true that there are other ways to express intimacy besides intercourse, this response may not address the patient’s specific concern about sexual function following an orchiectomy.
Choice B rationale
This response directly addresses the patient’s concern. The removal of a single testicle does not typically prevent a man from having an erection or enjoying sexual activity.
Choice C rationale
While focusing on recovery is important, this response may not be helpful to the patient. It does not address his concern about sexual function and may make him feel that his concerns are being dismissed.
Choice D rationale
This response may not be helpful to the patient. It does not address his concern about sexual function and may make him feel that his feelings are being minimized.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Offering snacks that are high in sodium is not recommended for patients with heart failure. Sodium can cause fluid retention and worsen heart failure symptoms.
Choice B rationale
Monitoring the patient’s weight once per week is not sufficient for patients with heart failure. Daily weight monitoring is typically recommended to detect fluid retention early.
Choice C rationale
Providing rest periods throughout the day is recommended for patients with heart failure. Rest can help reduce the workload of the heart and manage symptoms of fatigue.
Choice D rationale
Placing the head of the patient’s bed flat is not recommended for patients with heart failure. This position can make breathing more difficult. Instead, the head of the bed should be elevated.
Correct Answer is D
Explanation
Choice A rationale
Elevating the head of the bed 45 degrees before starting the CPM device is not necessary. The position of the bed does not affect the operation of the CPM device.
Choice B rationale
Instructing the patient to increase the degree of flexion as tolerated is not the nurse’s responsibility. The degree of flexion is usually set by the healthcare provider or physical therapist.
Choice C rationale
Ensuring the frame joint is in a flexed position before placing the leg onto the device is not necessary. The CPM device should be set up according to the manufacturer’s instructions and the healthcare provider’s orders.
Choice D rationale
Ensuring the knee joint is positioned over the CPM device frame joint is crucial. Proper alignment of the patient’s knee joint with the CPM device’s joint ensures effective and safe operation of the device.
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