A nurse is reviewing the medical record of a client with a sexual dysfunction. Which of the following, if noted in the client's history, would the nurse identify as a possible contributing factor? Select all that apply

Question

A) Antihypertensive therapy
B) Diabetes
C) Peptic ulcer disease
D) Appendectomy at age 15 years
E) Occasional alcohol use

Answer 1

Ans: A, B
A careful medication history is important because so many medications have a negative effect on sexual performance. Antihypertensives are one example. Adults with chronic medical illnesses and disabilities who have problems with sensation, movement, body structure, fertility, energy, or negative self-image should be asked about the impact of the medical problems on their sexual function. Diabetes is associated with gradual impotence in about half of men and orgasmic dysfunction in about one third of women. Peptic ulcer disease, appendectomy at age 15 years, and occasional alcohol use would not be contributing factors. However, chronic alcohol abuse is a contributing factor.