A nurse is caring for a client who has erectile dysfunction. Which of the following lab tests should the nurse expect will be ordered to evaluate this client? (Select All that Apply.)
Thyroid stimulating hormone
Blood glucose
Partial thromboplastin time
Testosterone
Total cholesterol
Correct Answer : A,B,D,E
Choice A reason: Thyroid stimulating hormone (TSH)
TSH levels can affect sexual function. Both hyperthyroidism and hypothyroidism can lead to ED. Hyperthyroidism can cause premature ejaculation, while hypothyroidism can reduce libido and cause ED. Therefore, assessing thyroid function is important in the evaluation of ED.
Choice B reason: Blood glucose
Diabetes mellitus is a common cause of ED. High blood glucose levels can damage blood vessels and nerves that control erection. Therefore, testing for diabetes with a blood glucose test is a standard part of the ED evaluation.
Choice C reason: Partial thromboplastin time (PTT)
PTT is not typically used to evaluate ED. It measures the time it takes for blood to clot and is usually used to assess bleeding disorders or the effectiveness of blood-thinning medication.
Choice D reason: Testosterone
Low testosterone levels can lead to a decrease in sexual desire and ED. Testosterone replacement therapy may improve the situation if this is the case. Hence, measuring testosterone levels is a critical part of the ED workup.
Choice E reason: Total cholesterol
High cholesterol can lead to atherosclerosis, which can impede blood flow to the penis and cause ED. Therefore, a lipid profile, including total cholesterol, is often checked when evaluating ED.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
While a blood glucose level of 120 mg/dL is slightly above the normal range, it is not typically considered an emergency for a client with type 2 diabetes mellitus. This client would require monitoring and potential adjustment of their diabetes management plan, but it does not necessitate immediate assessment.
Choice B reason:
For a client with diabetes insipidus, an intake of 1,500 mL and an output of 1,600 mL in 24 hours is within expected parameters, considering the condition's characteristic polyuria and polydipsia. This client would need ongoing monitoring to maintain fluid balance but is not the highest priority for immediate assessment.
Choice C reason:
A heart rate of 100/min and tremors in a client with Graves' disease could indicate that their condition is not well-controlled. However, these symptoms are not as acutely concerning as those of a stroke and would be addressed after more urgent needs are met.
Choice D reason:
A client who has had a left-sided stroke and reports a severe headache and confusion is exhibiting signs of a possible acute neurological change or complication, such as increased intracranial pressure or hemorrhage. This client requires immediate assessment and intervention due to the potential for rapid deterioration and life-threatening complications.
Correct Answer is C
Explanation
Choice A reason:
Bathroom privileges after premedication are not typically restricted unless the premedication impairs the client's ability to ambulate safely. However, it is important to ensure that the client does not fall or injure themselves due to the effects of the medication.
Choice B reason:
Drinking 8 oz of water is generally not advised immediately before surgery due to the risk of aspiration during anesthesia. Clients are usually instructed to fast, which includes not drinking any liquids, for a certain period before surgery.
Choice C reason:
Preoperative diazepam may be administered 30 minutes before surgery to help reduce anxiety and induce sedation. Diazepam is a benzodiazepine that can calm the client and facilitate a smoother induction of anesthesia.
Choice D reason:
Enema administration is not a standard preoperative procedure for a client undergoing a cholecystectomy unless there is a specific indication. The primary focus is on preventing infection and managing pain.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today