Chapter 39: Care of Men with Reproductive Disorders |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

MULTIPLE CHOICE 1. In counseling a man with erectile dysfunction about a prescription for sildenafil (Viagra), when should the nurse suggest a different treatment? a. The patient is over 50 years of age. b. The patient takes nitroglycerin for angina. c. The patient is more than 50 pounds overweight. d. The patient is a long-term diabetic. ANS: B Viagra is contraindicated if the patient is also taking nitrates because the combination can cause significant hypotension. Age, weight, and diabetes are not contraindications for the use of Viagra. PTS:1 DIF: Cognitive Level: Application REF: 927, Table 39-2 OBJ:2 (theory) TOP: Erectile Dysfunction: Viagra KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies 2. The nurse reminds a 68-year-old man that a man of any age can reproduce if he is able to perform which function? a. Maintain an erection b. Ejaculate c. Maintain a high sperm count d. Participate in intercourse ANS: D If a man can participate in intercourse, he can still reproduce, even with a low sperm count. PTS: 1 DIF: Cognitive Level: Comprehension REF: 926, Older Adult Care Points OBJ: 1 (theory) TOP: Sperm Production KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. The nurse is educating a patient who has been given a prescription for tadalafil (Cialis). The nurse warns the patient about which potential complication? a. Priapism b. Obstructed urethra c. Hydronephrosis d. Urethritis ANS: A Cialis can cause priapism, a persistent erection that can develop into a urologic emergency as penile vessels may become thrombosed. Urethral obstruction is not associated with the use of tadalafil (Cialis). Hydronephrosis refers to dilation of the renal pelvis and is not associated with the use of tadalafil (Cialis). Urethritis refers to infection or inflammation of the urethra and is not associated with the use of tadalafil (Cialis). PTS:1 DIF: Cognitive Level: Application REF: 928 OBJ:2 (theory) TOP: Erectile Dysfunction: Cialis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies 4. The nurse is interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction. Which statement is the best way to open the interview? a. “When was the last time you were impotent?” b. “Do you attempt to have intercourse every week?” c. “What medications have you tried previously?” d. “What experiences have you had with erectile dysfunction?” ANS: D Asking open-ended questions will help the patient respond with information that can be used in a plan of care. PTS:1 DIF: Cognitive Level: Application REF: 923 OBJ:2 (theory) TOP: ED: Interview KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 5. The nurse understands that the clinical definition of infertility is failure to conceive after frequent, unprotected sex over what period of time? a. 6 months b. 12 months c. 18 months d. 24 months