Jim is a 47-year-old man who is having difficulties with sexual function. He is recently separated from his wife of 20 years. He notes that he has early morning erections but otherwise cannot function. Which of the following is a likely cause for his problem?
A) Decreased testosterone levels
B) Psychological issues
C) Abnormal hypogastric arterial circulation
D) Impaired neural innervation
B) Psychological issues
The fact that he has an early morning erection is indicative of normal physiologic function. You may consider looking further into psychological issues, perhaps related to his marital difficulties. If the patient is unsure of whether early morning erections are occurring, some recommend the postage stamp test in which a ring of postage stamps or other perforated stickers is placed around the penis while in the flaccid state. If the perforations are broken, it is likely an erection has occurred. Do not perform this test without perforations in the stickers, or the ring may function as a tourniquet.
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A neonate is being fed 20 mL every three hours by orogastric lavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. Which of the following would be the most appropriate action by the nurse?
1. Withhold the feeding and notify the physician. 2. Replace the residual and continue with the full feeding. 3. Replace the residual, but only give 5 mL of the feeding. 4. Withhold the feeding and check the residual in three hours.
When assessing a client in shock who takes a beta adrenergic blocker, the nurse recognizes that which of the following responses to shock may be altered?
1. Tachycardia 2. Hypotension 3. Bowel sound 4. Cyanosis
The nurse is assisting an intellectually impaired child to eat. Which of the following is a recommended guideline for this procedure?
A) Place the child in a semisitting position with the head flexed slightly backward. B) Teach or remind the child to chew and, if necessary, manipulate the jaw up and down. C) Place food in the center of the mouth, not on the side, and do not rush. D) Keep the atmosphere quiet and, if possible, feed the child alone.
The nurse is assessing the gross motor skills of an 8-year-old boy. Which of interview question would facilitate this assessment?
A) 'Do you like to do puzzles?' B) 'Do play any instruments?' C) 'Do you participate in any sports?' D) 'Do you like to construct models?'