The nurse is following up with a male client, diagnosed 3 months ago, with erectile dysfunction who attempted lifestyle modifications as the first line of treatment.
The client reports having continued symptoms.
The nurse should discuss which of the following types of treatment with the client next?

Medications.

Negative-pressure devices.

Penile injections.

Penis transplant.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Phosphodiesterase type 5 inhibitors, such as sildenafil, are the next step in treating erectile dysfunction after lifestyle changes fail. These medications enhance nitric oxide-mediated vasodilation in the penile tissues, improving erectile function. Their efficacy, safety, and widespread availability make them the first-line pharmacological option.

Choice B rationale

Negative-pressure devices, like vacuum erection devices, mechanically increase blood flow to the penis to maintain an erection. While effective for some, they are typically considered after the failure of oral pharmacological agents, as they require significant user compliance and may cause discomfort.

Choice C rationale

Penile injections of vasodilatory agents, such as alprostadil, are effective for managing erectile dysfunction. However, these are invasive and often reserved for cases unresponsive to oral medications or mechanical devices. They are not typically the first choice after lifestyle modification.

Choice D rationale

Penis transplantation is an experimental treatment and not a standard approach to managing erectile dysfunction. Its application is limited to cases of significant penile trauma or congenital abnormalities and is not relevant for individuals without such conditions.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Reducing caffeine consumption decreases bladder irritation and helps manage urinary incontinence symptoms. Caffeine stimulates bladder activity and exacerbates urgency and frequency. Clinical evidence supports its reduction as part of an effective urinary incontinence management strategy.

Choice B rationale

Grapefruit juice is acidic and irritates the bladder lining, worsening symptoms of urinary incontinence. Substituting orange juice with grapefruit juice does not mitigate bladder irritation. Both contain acids and should be avoided to manage urinary incontinence effectively. Citrus juices are contraindicated in clients managing urinary incontinence.

Choice C rationale

Kegel exercises improve pelvic floor muscle strength, reducing urinary incontinence episodes. They enhance the function of the urinary sphincter and support better bladder control. Kegel exercises are widely recommended in clinical practice for patients managing urinary incontinence and are supported by robust scientific evidence.

Choice D rationale

Scheduled bathroom visits prevent bladder overdistension and manage urinary incontinence symptoms effectively. Timed voiding trains the bladder to hold urine for specific periods, reducing the frequency of urgency episodes. It is an effective behavioral approach supported by clinical guidelines for managing urinary incontinence.

A. Edema of the lower extremities. B. Pulmonary crackles auscultated. C. Ascites. D. Jugular vein distention.

Correct Answer is B

Explanation

Choice A rationale

Edema of the lower extremities suggests right-sided heart failure, not left ventricular failure. Fluid backs up into systemic circulation in right-sided failure, while left-sided failure primarily affects pulmonary circulation. Differentiating between these conditions is essential for targeted management.

Choice B rationale

Pulmonary crackles result from fluid accumulation in alveoli due to left ventricular failure, where decreased cardiac output causes blood to back up into pulmonary vasculature. Crackles indicate pulmonary congestion or edema. Prompt identification aids in early intervention. Normal respiratory assessment excludes crackles.

Choice C rationale

Ascites is more indicative of chronic right-sided heart failure or liver disease, not acute left ventricular failure. Ascites results from systemic venous congestion, which is less common in isolated left-sided heart failure. Differentiating causes helps refine diagnostic focus.

Choice D rationale

Jugular vein distention is associated with elevated central venous pressure, typical of right-sided heart failure or combined heart failure. It does not specifically characterize left ventricular failure. Accurate recognition of findings ensures precise diagnosis and management.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is following up with a male client, diagnosed 3 months ago, with erectile dysfunction who attempted lifestyle modifications as the first line of treatment.The client reports having continued symptoms.The nurse should discuss which of the following types of treatment with the client next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has taught a client with urinary incontinence about managing the problem.Which of the following statements by the client would indicate the need for more teaching?

Correct Answer is B

Explanation

The nurse is assessing a newly admitted client diagnosed with left ventricular failure.Which of the following findings should the nurse expect during the assessment?

Correct Answer is B

Explanation

The nurse is developing a care plan for a client newly diagnosed with hypertension.The nurse should include which of the following modifications in the client teaching plan of care?

The nurse is reviewing the prescriptions for a client with severe pain from renal colic.Which of the following prescriptions should the nurse implement first?

The nurse is following up with a male client diagnosed 3 months ago with erectile dysfunction who attempted lifestyle modifications as the first line of treatment.The client reports having continued symptoms.The nurse should discuss which of the following types of treatment with the client next?

The nurse is teaching a client about preventing symptoms of thalassemia.Which of the following information should the nurse include in the teaching?

The nurse is following up with a male client, diagnosed 3 months ago, with erectile dysfunction who attempted lifestyle modifications as the first line of treatment.The client reports having continued symptoms.The nurse should discuss which of the following types of treatment with the client next?

The nurse is performing a health screening for a client at a local clinic and the client states, "I have noticed changes in my vision recently and I have also had some bad headaches.”. Which of the following actions should be a priority for the nurse to take?

The nurse is caring for a client diagnosed with secondary immune thrombocytopenic purpura (ITP). The nurse should expect the client to be tested for which of the following possible causes?

The nurse is caring for a male client with a history of benign prostatic hyperplasia (BPH) who reports being unable to void any urine for the last 8 hours.Which of the following actions should the nurse take first?