When the nurse is obtaining health history during an annual physical examination, the client reports having difficulty with erections for the past 8 months. Which information in the client's history should the nurse consider as a potential reason for erectile dysfunction?

A lifestyle with minimal physical activity.

Works more than 12 hours in a day.

History of type 2 diabetes mellitus.

A phosphodiesterase inhibitor on the medication list.

Answer and Explanation

The Correct Answer is C

A.   A lifestyle with minimal physical activity may contribute to general health issues, but it is not as directly linked to erectile dysfunction as conditions like diabetes.
B.   Working long hours can cause stress or fatigue, which may indirectly affect sexual function, but it is not a direct cause of erectile dysfunction.
C.   Type 2 diabetes mellitus is a well-known risk factor for erectile dysfunction due to its impact on blood flow and nerve function, both of which are essential for normal erectile function.
D.   A phosphodiesterase inhibitor is often used to treat erectile dysfunction, but its presence on the medication list is more likely a treatment rather than a cause.

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Correct Answer is C

Explanation

A. While vaginal discharge, genital warts, and abdominal tenderness may indicate other concerns, they are not as directly related to menstrual irregularity without further investigation.
B. Breast tenderness, tremors, and high blood pressure are less likely to be connected to missed periods in this context.
C. Body weight changes, hirsutism, and thyroid enlargement could indicate thyroid dysfunction, such as hypothyroidism or polycystic ovary syndrome (PCOS), both of which can cause irregular periods.
D. Urinary frequency, unsteady gait, and dental erosion are more indicative of a metabolic or neurological issue, which is less likely to explain missed periods.

A. Decrease the need for rapid eye movement (REM) sleep. B. He would sleep soundly during the first half of the night, with increased arousals during the second half. C. Increase sleep latency, and reduce total sleep time. D. He would have difficulty falling to sleep, and sleep very lightly with more frequent arousals.

Correct Answer is C

Explanation

A. Nicotine’s impact on REM sleep is not as direct as this option suggests. REM sleep can be reduced, but
it is not directly linked to a decreased need for REM sleep.
B. This option may be true for some individuals, but smoking typically causes disruptions throughout the night, not just in the second half.
C. Smoking has been shown to increase sleep latency (the time it takes to fall asleep) and reduce total sleep time due to nicotine’s stimulant effect and withdrawal symptoms during sleep.
D. Difficulty falling asleep and light sleep with frequent arousals are common effects of smoking due to
nicotine’s stimulant properties and withdrawal during the night.

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When the nurse is obtaining health history during an annual physical examination, the client reports having difficulty with erections for the past 8 months. Which information in the client's history should the nurse consider as a potential reason for erectile dysfunction?

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Correct Answer is C

Explanation

An adult male client tells the nurse that he smokes approximately one pack of cigarettes daily. How can the nurse expect smoking to affect this client's sleep?

Correct Answer is C

Explanation

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When the nurse is obtaining health history during an annual physical examination, the client reports having difficulty with erections for the past 8 months. Which information in the client's history should the nurse consider as a potential reason for erectile dysfunction?

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