A male patient takes carbamazepine (Tegretol). The spouse reports sexual dysfunction, but the patient adamantly denies he has this problem. What response by the nurse is best?
a. Telling him, "You need to think of your wife's needs too."
b. Telling him this is common and can be discussed if wanted.
c. Questioning the patient again about sexual functioning
d. Telling the doctor to change the patient's prescription
B
The nurse should provide the information that this drug causes ED and leave the door open for the patient. This way the patient knows he has "permission" to bring the topic up in the future. Repeatedly questioning the patient about sexual functioning is not likely to encourage the nurse-patient relationship. Telling the doctor to change the prescription is overstepping the pa-tient's autonomy.
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