A patient tells the nurse he has started experiencing erectile dysfunction since beginning treatment for hypertension. Which statement by the nurse is most appropriate?

You can start taking sildenafil (Viagra): this should fix the problem.

This is a normal side effect of the medication and you will get used to it.

I will talk to your doctor to see if adjustments can be made.

You should stop taking this medication immediately

Answer and Explanation

The Correct Answer is C

A. You can start taking sildenafil (Viagra): this should fix the problem.: This is inappropriate advice for the nurse to give. The use of medications like sildenafil should be discussed with the physician, especially considering potential interactions with hypertension medications.
B. This is a normal side effect of the medication and you will get used to it.: While erectile dysfunction can be a side effect of hypertension medications, telling the patient they will "get used to it" is dismissive and not supportive.
C. I will talk to your doctor to see if adjustments can be made.: This is appropriate as it acknowledges the patient's concern and involves the healthcare provider to explore potential medication adjustments or alternatives.
D. You should stop taking this medication immediately.: This is incorrect and potentially dangerous. Stopping hypertension medication abruptly can lead to uncontrolled blood pressure and other serious issues.

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Correct Answer is D

Explanation

A. Legs in adduction: Adduction can increase the risk of dislocating the hip prosthesis and should be avoided.
B. More than 90-degree hip flexion: Flexing the hip more than 90 degrees can increase the risk of dislocation and should be avoided.
C. Internal leg rotation: Internal rotation of the leg can increase the risk of hip dislocation postoperatively.
D. Legs in abduction: Maintaining legs in abduction (spreading them apart) helps keep the hip joint stable and reduces the risk of dislocation after hip replacement surgery.

A. "I will avoid crossing my legs at the knees." B. "I will wear stockings with elastic tops." C. "I will use a thermometer to check the temperature of my bath water." D. "I will not go barefoot."

Correct Answer is B

Explanation

A. "I will avoid crossing my legs at the knees.": This is appropriate because crossing legs can reduce blood flow and increase the risk of blood clots, exacerbating PVD symptoms.
B. "I will wear stockings with elastic tops.": This indicates a need for further teaching. Stockings with tight elastic tops can constrict blood flow and are not recommended for patients with PVD. They should use graduated compression stockings if prescribed.
C. "I will use a thermometer to check the temperature of my bath water.": This is appropriate as it prevents burns in patients with reduced sensation due to PVD.
D. "I will not go barefoot.": This is appropriate to avoid injuries and infections, which can be problematic for individuals with PVD due to poor circulation.

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A patient tells the nurse he has started experiencing erectile dysfunction since beginning treatment for hypertension. Which statement by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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