The nurse is caring for a client who is concerned about sexual performance. Nursing Interview

A 70-year-old male client reported that he is concerned about declining sexual performance.

The nurse is engaging in client education to explain internal causes of withdrawal from sexual activity later in life. Which of the following internal causes should the nurse discuss? Select all that apply.

Stress

Low testosterone levels

Substance use

Lack of sleep

Chronic disease

Answer and Explanation

Correct Answer : B,E

Choice A rationale: Stress can be a factor affecting sexual function, but it is not exclusively an internal cause. External factors like stress can influence internal physiological processes.

Choice B rationale: Low testosterone levels can contribute to declining sexual performance in aging males. Testosterone levels tend to decrease with age, affecting sexual function.

Choice C rationale: Substance use can affect sexual performance, but it is not exclusively an internal cause. It involves external factors influencing the body's internal processes.

Choice D rationale: Lack of sleep can impact overall health, including sexual function, but it is not exclusively an internal cause.

Choice E rationale: Chronic diseases, especially those affecting cardiovascular health and diabetes, can impact sexual performance. The nurse should discuss the potential influence of chronic diseases on the client's concerns.

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Correct Answer is C

Explanation

Choice A rationale: One minute is not sufficient to determine the absence of bowel sounds, especially in all quadrants.

Choice B rationale: Ten minutes in each quadrant is excessive and not a standard practice.

Choice C rationale: The nurse should listen for at least 1 minute in each quadrant before concluding that bowel sounds are absent, as they may be very faint or irregular.

Choice D rationale: Five minutes in each quadrant is excessive and not a standard practice.

A. Heart failure B. Excess fluid retention C. Excess fluid consumption D. Pulmonary embolism

Correct Answer is A

Explanation

Choice A rationale: Severe bilateral lower extremity edema is commonly associated with heart failure. In heart failure, the heart's ability to pump blood is compromised, leading to fluid retention and peripheral edema.

Choice B rationale: Excess fluid retention is more of a symptom rather than an underlying cause. Heart failure is a condition that can lead to fluid retention.

Choice C rationale: Excess fluid consumption is unlikely to be the primary cause of severe bilateral lower extremity edema. Underlying medical conditions, such as heart failure, are more likely.

Choice D rationale: While a pulmonary embolism can lead to cardiovascular compromise, severe bilateral lower extremity edema is more commonly associated with heart failure.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an abdominal assessment, the nurse is unable to hear bowel sounds in a client's abdomen. How long should the nurse listen before reporting absent bowel sounds?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

A nurse is taking a health history from a female client. The client asks to get the vaccine for human papilloma virus (HPV) to get rid of genital warts. Which of the following statements should be the nurse’s best response?

A nurse is assessing a client’s cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?

The student nurse is studying the functioning of the nervous system. Which of the following descriptions of the central nervous system is accurate?

The nurse is educating a client on different areas of the brain. The nurse recognizes that which of the following statements concerning areas of the brain is correct?

The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?

The nurse is teaching a male client about the reproductive system. The nurse recognizes that which structure secretes a thin, milky alkaline fluid to enhance the viability of sperm?

The nurse is taking a health history from a client. The client tells the nurse that. "It feels like the room is spinning." How should the nurse document this finding?

The nurse is assessing the male genital organ. The nurse recognizes that which of the following is an accessory glandular structure for the male genital organs?