The nurse is caring for a client who is concerned about sexual performance. Nursing Interview

A 70-year-old male client reported that he is concerned about declining sexual performance.

The nurse is engaging in client education to explain internal causes of withdrawal from sexual activity later in life. Which of the following internal causes should the nurse discuss? Select all that apply.

Stress

Low testosterone levels

Substance use

Lack of sleep

Chronic disease

Answer and Explanation

Correct Answer : B,E

Choice A rationale: Stress can be a factor affecting sexual function, but it is not exclusively an internal cause. External factors like stress can influence internal physiological processes.

Choice B rationale: Low testosterone levels can contribute to declining sexual performance in aging males. Testosterone levels tend to decrease with age, affecting sexual function.

Choice C rationale: Substance use can affect sexual performance, but it is not exclusively an internal cause. It involves external factors influencing the body's internal processes.

Choice D rationale: Lack of sleep can impact overall health, including sexual function, but it is not exclusively an internal cause.

Choice E rationale: Chronic diseases, especially those affecting cardiovascular health and diabetes, can impact sexual performance. The nurse should discuss the potential influence of chronic diseases on the client's concerns.

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Correct Answer is A

Explanation

Choice A rationale: Severe bilateral lower extremity edema is commonly associated with heart failure. In heart failure, the heart's ability to pump blood is compromised, leading to fluid retention and peripheral edema.

Choice B rationale: Excess fluid retention is more of a symptom rather than an underlying cause. Heart failure is a condition that can lead to fluid retention.

Choice C rationale: Excess fluid consumption is unlikely to be the primary cause of severe bilateral lower extremity edema. Underlying medical conditions, such as heart failure, are more likely.

Choice D rationale: While a pulmonary embolism can lead to cardiovascular compromise, severe bilateral lower extremity edema is more commonly associated with heart failure.

A. "It would be very unusual for a man your age to have cancer of the prostate." B. We will treat you with chemotherapy so we can control the cancer" C. "The swelling in your prostate is only temporary and will go away" D. "The enlargement of your prostate is caused by hormonal changes, and not cancer."

Correct Answer is D

Explanation

Choice A rationale: Stating that it would be very unusual for a man his age to have prostate cancer may not be accurate, as prostate cancer can occur in older individuals.

Choice B rationale: Discussing chemotherapy implies a cancer treatment plan, which may not be applicable to BPH.

Choice C rationale: Describing the swelling in the prostate as temporary and going away may not be accurate for BPH, as it is a chronic condition.

Choice D rationale: The nurse provides accurate information by explaining that benign prostatic hypertrophy (BPH) is caused by hormonal changes and is not cancerous.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?

Correct Answer is D

Explanation

During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

A nurse is assessing a client’s fingers. The client complains of a swollen, painful knuckle, and not being able to remove a ring from that finger. The nurse recognizes that which of the following is the correct term for the affected joint?

During an abdominal assessment, the nurse is unable to hear bowel sounds in a client's abdomen. How long should the nurse listen before reporting absent bowel sounds?

The student nurse is studying the functioning of the nervous system. Which of the following descriptions of the central nervous system is accurate?

The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?

A nurse is assessing a client’s cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?

A male client with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the client?