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 B

Explanation

Choice A rationale: The HPV vaccine is recommended for individuals before becoming sexually active but can still provide protection for those who have not yet been exposed to all vaccine-preventable HPV types.

Choice B rationale: The HPV vaccine is not a treatment for existing HPV infections. It is most effective when given before exposure to the virus.

Choice C rationale: While the HPV vaccine is generally recommended for individuals ages 9 to 26, it may still be appropriate for older individuals in certain cases.

Choice D rationale: Checking with the physician is a good approach, but the nurse can provide information on the limitations of the vaccine in treating existing HPV infections.

A. Sigmoid B. Liver C. Appendix D. Gallbladder

Correct Answer is C

Explanation

Choice A rationale: The sigmoid is part of the large intestine and is located in the left lower quadrant.

Choice B rationale: The liver is located in the right upper quadrant.

Choice C rationale: Tenderness in the right lower quadrant during light palpation is a potential indication of appendicitis. The appendix is located in the lower right quadrant of the abdomen.

Choice D rationale: The gallbladder is typically located in the right upper quadrant, and tenderness in the right lower quadrant is not directly associated with gallbladder issues.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes that this finding could indicate a problem with which organ?

Correct Answer is C

Explanation

The nurse is percussing a client’s abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?

The nurse is preparing to screen a client for deep vein thrombosis (DVT). Which of the following techniques should the nurse recognize as the appropriate technique to screen for DVT?

A client diagnosed with osteoporosis asks the nurse “What is osteoporosis?” The nurse should provide which of the following explanations about osteoporosis?

The nurse is providing health promotion teaching to a group of clients. The nurse should include in her teaching that which of the following population has a greater risk factor for osteoporosis?

The nurse is performing a rectal examination on a client and finds a firm, irregularly shaped mass. Which of the following is the next action the nurse should take?

The nurse is performing a physical assessment on the client's mandible and temporal bone. The nurse recognizes that the articulation of the mandible and the temporal bone is called?

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?