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.
The Correct Answer is A
Choice A rationale
Medications, such as phosphodiesterase type-5 inhibitors (e.g., sildenafil), are typically the next line of treatment for erectile dysfunction (ED) after lifestyle modifications fail. These agents enhance blood flow to the penile tissues during sexual stimulation by inhibiting the breakdown of cyclic guanosine monophosphate, facilitating erectile function.
Choice B rationale
Negative-pressure devices, also known as vacuum erection devices, are considered third-line treatments and are typically used in clients for whom oral medications are contraindicated or have failed. These devices work by mechanically increasing blood flow to the penis but are less effective than pharmacological interventions.
Choice C rationale
Penile injections, such as alprostadil, are invasive and used as a later option when oral medications and devices are unsuccessful or contraindicated. These injections directly relax the smooth muscle to increase penile blood flow, but they are generally not first-line treatments.
Choice D rationale
Penis transplants are experimental and not recognized as a standard treatment for erectile dysfunction. This option is far from practical or feasible and is considered unsuitable for most clients, especially given the complexity of the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Hemorrhage is not a typical complication of extracorporeal shock wave lithotripsy (ESWL), as it is a non-invasive procedure targeting kidney stones using shock waves. The risk of significant bleeding is minimal, and monitoring focuses more on urinary changes or localized pain rather than hemorrhage.
Choice B rationale
ESWL does not involve surgical incisions, so there is no incision site to monitor for infection. This action is irrelevant to the procedure's mechanism, which uses external shock waves to fragment stones rather than invasive surgical methods.
Choice C rationale
Sand or gravel in the urine is a common finding after ESWL as the procedure fragments kidney stones into smaller particles. These fragments are excreted through the urinary system. Monitoring urine for these particles helps evaluate the procedure's effectiveness and ensure stones are adequately eliminated.
Choice D rationale
Percutaneous nephrostomy tubes are used for urinary drainage but are not a standard component of ESWL. Monitoring for tube obstruction applies to invasive procedures, whereas ESWL focuses on non-invasive stone fragmentation. This action is unrelated to the client's current treatment modality. .
Correct Answer is A
Explanation
Choice A rationale
Corticosteroids are the mainstay of treatment for thrombocytopenia, particularly immune-mediated types like ITP. They work by suppressing immune-mediated platelet destruction, thereby increasing platelet counts and improving symptoms effectively.
Choice B rationale
Diphenhydramine, an antihistamine, may be used for allergic reactions but has no role in treating thrombocytopenia. It does not address immune-mediated mechanisms or platelet destruction directly.
Choice C rationale
Desmopressin (DDAVP) increases von Willebrand factor and Factor VIII activity, making it appropriate for certain clotting disorders but irrelevant for thrombocytopenia, as it does not restore platelet numbers or function.
Choice D rationale
Hydrochlorothiazide, a diuretic, is used for hypertension or fluid management but has no therapeutic effect on platelet counts or immune-mediated mechanisms in thrombocytopenia. Its use is unrelated to the described condition. .
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