A 65-year-old male, although he is having painful symptoms related to a benign enlargement of the prostate, refuses to consider a prostatectomy because he fears that the surgery will make him impotent
What information can the nurse provide as reassurance?
a. A prostatectomy will enhance sexual function.
b. New techniques for a prostatectomy do not damage nerves.
c. The prostate has nothing to do with erection or seminal fluid production.
d. Impotence following a prostatectomy is entirely psychological.
ANS: B
Newer techniques do not damage nerves as was once the case when impotence following surgery was a real risk.
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A 31-year-old patient with breast cancer is concerned about being prescribed a hormonal medication to help block the effects of estrogen on the growth of breast cancer cells
The nurse should provide education about which of the following likely medications? A) Trastuzumab (Herceptin), a biologic therapy B) Nolvadex (Tamoxifen), a nonsteroidal antiestrogen C) Progesterone, a hormone. D) Arimidex (anastrozole), an aromatase inhibitor.
A client is currently taking propranolol (Inderal) for hypertension, glipizide (Glucotrol) for diabetes, and acetaminophen (Tylenol) for osteoarthritis. If cholestyramine was given to this client, which of the following would likely result?
Select all that apply. A) The client would experience hypoglycemia from increased absorption of glipizide. B) The client would experience decreased analgesia from decreased absorption of acetaminophen. C) The client would experience an increase in blood pressure due to decreased absorption of propranolol. D) The client would experience hypotension from increased absorption of propranolol. E) The client would experience hyperglycemia from decreased absorption of glipizide.
When performing a clinical breast examination on a client, a nurse palpates a thickened area where the skin folds under the breast. What is the nurse's best action?
A. Proceed with the examination. B. Determine if the thickness is bilateral. C. Ask the client how long the thickness has been present. D. Attempt to elicit the same response with the client in a different position.
The nurse is caring for a patient who has myasthenia gravis (MG) and is receiving pyridostigmine bromide (Mestinon). The nurse notes ptosis of both eyelids and observes that the patient has difficulty swallowing. What action will the nurse perform next?
a. Contact the provider to request an order for atropine sulfate. b. Contact the provider to request an order for edrophonium chloride (Tensilon). c. Report signs of cholinergic crisis to the provider. d. Report signs of myasthenic crisis to the provider.