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?

Choice A rationale

Encouraging fluids with meals is not the best choice for a client who has HIV. While hydration is important, drinking fluids with meals can fill the stomach and decrease the client’s appetite, potentially leading to inadequate nutrient intake.

Choice B rationale

Offering small, frequent meals is a recommended intervention for a client who has HIV. This approach can help to maximize nutrient intake and manage symptoms such as nausea and early satiety. This is the correct choice.

Choice C rationale

While fresh fruits and vegetables are generally part of a healthy diet, they may not be appropriate for all clients with HIV. Some individuals may have difficulty digesting these foods, and others may be at risk of infection from uncooked produce.

Choice D rationale

Providing a diet of pureed foods is not a standard intervention for clients with HIV. This approach may be necessary for individuals with certain conditions or symptoms, but it is not applicable to all clients with HIV23.

Choice A rationale

Glaucoma is a contraindication for taking propranolol. Propranolol is a non-selective beta- blocker that can decrease intraocular pressure, which could worsen glaucoma.

Choice B rationale

DeBou syndrome is not a recognized medical condition and therefore cannot be a contraindication for taking propranolol.

Choice C rationale

Migraine headaches are not a contraindication for taking propranolol. In fact, propranolol is often used in the prevention of migraines.

Choice D rationale

A history of kidney stones is not a contraindication for taking propranolol. Propranolol does not affect kidney stone formation or exacerbate this condition.