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 A

Explanation

A. Longitudinal ridges on the fingernails are a common finding in older adults and often do not indicate any underlying health problems. These ridges may develop due to normal aging processes as the rate of nail growth slows.
B. While COPD can cause changes in the nails, such as clubbing, longitudinal ridges are not typically associated with this condition. COPD is more likely to cause cyanosis and other signs related to poor oxygenation.
C. A fungal infection usually causes discoloration, thickening, or brittleness in nails, but not longitudinal ridges. Fungal infections would likely affect the overall appearance of the nail rather than causing isolated ridges.
D. Psoriasis can cause pitting, scaling, or thickening of the nails, but longitudinal ridges are not characteristic of this condition. Psoriasis typically affects the skin more than the nails, though it can lead to changes in nail structure.

A. Palpating in the wrong abdominal quadrant. B. The gallbladder is normal. C. The client is too obese. D. Deeper palpation technique is needed.

Correct Answer is C

Explanation

A. While it is important to palpate the correct quadrant, this is unlikely the cause if the gallbladder cannot be located. The gallbladder is typically located in the right upper quadrant, and the nurse would have been palpating this area. This option does not address the most likely cause.
B. A normal gallbladder might not always be palpable, especially if the client is obese. However, inability to palpate the gallbladder does not necessarily indicate a problem; this is a common finding in obese individuals where fat tissue can obscure the gallbladder.
C. Obesity can make it more difficult to palpate internal structures such as the gallbladder. Excess adipose tissue in the abdominal area can prevent the nurse from feeling the gallbladder during palpation. This is the most likely explanation for the failure to locate the gallbladder.
D. While deeper palpation might be necessary in obese clients, the inability to palpate the gallbladder is more likely due to the obscuring effects of fat, rather than a technique issue. It's a common finding that obesity hinders the ability to palpate organs like the gallbladder.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing a skin and nail exam on an older adult female client, the nurse notes that she has longitudinal ridges on her fingernails. What does this finding indicate?

Correct Answer is A

Explanation

While assessing a client who is obese, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. Which is the most likely explanation for failure to locate the gallbladder by palpation?

Correct Answer is C

Explanation

The nurse observes that the lower legs of a client with diabetes mellitus are shiny, and with no hair growth. To obtain additional data to support these findings, which assessment should the nurse perform?

The nurse observes that a client who is intoxicated has an ataxic gait. Which finding does the nurse expect to be positive upon further assessment of the client?

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?

When assessing an older adult client, which finding is most indicative of dehydration?

The nurse assesses that a client has nailbed clubbing. Which additional information is consistent with this finding?

Which question by the nurse is likely to elicit the most information regarding a client's use of medications to treat a chronic cough?

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.