A nurse is performing a nursing assessment for a 59-year-old man who is hypertensive. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?
a. Sexual dysfunction may result from use of prescription and nonprescription drugs.
b. Such questions are an indirect way of learning about the patient's drug adherence.
c. These questions ease the transition to questions about sexual practices in general.
d. Sexual dysfunction can cause stress and contribute to increased blood pressure.
A
Some of the drugs used to treat hypertension can interfere with normal sexual functioning and lead to sexual disorders. Hypertension itself can lead to acquired erectile dysfunction. It would not be appropriate or necessary to use such inquiries as a lead-in to other sexual health topics. Sexual dysfunction, while stressful, is not generally considered to cause hypertension.
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