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?

Choice A rationale

Pregnant women may experience increased iron demands due to expanded blood volume and fetal requirements. However, prescribed prenatal vitamins typically contain sufficient iron to prevent deficiency. Compliance with supplementation reduces the risk for anemia, and pregnancy itself is not an independent factor without nutritional inadequacy. Other physiological conditions, such as menorrhagia or dietary restrictions, can significantly elevate risk factors for iron deficiency anemia.

Choice B rationale

Hypertension does not inherently increase the risk of iron deficiency anemia. Exercise three times a week is unlikely to create significant hematological challenges unless combined with conditions like poor dietary intake or chronic illness. Physical activity does not deplete iron stores unless excessive or accompanied by inappropriate nutrition. This client does not exhibit risk factors as critical as menorrhagia or dietary restrictions for anemia development.

Choice C rationale

Working long hours and consuming a high-carbohydrate diet might affect overall health, but these factors do not directly relate to iron absorption or blood loss. While poor nutritional habits can lead to deficiencies, high carbohydrate intake does not necessarily deplete iron reserves. A vegetarian or restrictive diet lacking iron-rich foods poses a greater risk for developing anemia than carbohydrate consumption alone.

Choice D rationale

Menorrhagia results in excessive blood loss during menstruation, which can deplete iron stores and lead to anemia. A strict vegetarian diet often lacks heme iron, which is more readily absorbed compared to non-heme iron from plant sources. Together, these factors create a dual risk of iron deficiency, emphasizing why this client is the most likely among the options to develop anemia. Nutritional counseling and supplementation are key preventive measures.

Choice A rationale

Teaching preventive measures, like proper hydration and hygiene, is integral for long-term UTI management but not the immediate clinical priority. Effective prevention helps reduce recurrence rates but does not address acute infection or associated complications during the current episode.

Choice B rationale

Preventing progression to complications takes priority in lower UTIs. This includes early and appropriate antibiotic therapy to inhibit bacterial proliferation and monitoring for symptoms suggestive of an ascending infection. Left untreated, lower UTIs can progress to pyelonephritis, a serious condition that increases morbidity.

Choice C rationale

Educating about treatment ensures compliance with the prescribed antibiotics and symptom management strategies. While necessary, client education is more aligned with secondary interventions after addressing the urgent need to prevent complications from the infection itself.

Choice D rationale

Pain management is important to alleviate discomfort and improve the client’s quality of life. However, addressing pain without resolving the underlying infection risks further complications. Thus, pain control, while valuable, is not the critical first-line intervention for preventing clinical deterioration. .