A man with hypospadias tells the nurse, "Intercourse with my new bride is painful." Which term applies to the patient's complaint?
a. Delayed ejaculation
b. Erectile dysfunction
c. Premature ejaculation
d. Genito-pelvic pain/penetration disorder
ANS: D
This sexual pain is genito-pelvic pain/penetration disorder and may occur in men or women. The individual feels pain in the genitals during intercourse. Erectile or ejaculation problems are not evident. See relationship to audience response question.
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Mrs. Clare was very agitated this evening. Without the knowledge of the LPN in charge, the certified nursing assistant (CNA) used soft ties to protect Mrs. Clare from falling out of bed. There was no order for their usage
On rounds several hours later, Mrs. Clare is found not breathing, tangled, with her restraints around her neck. The LPN is a. Not at fault—she did not know Mrs. Clare was put in restraints b. Guilty of negligence c. Guilty of omission d. Not concerned; after all, Mrs. Clare is a 90-year-old woman with a DNR (do not resuscitate) order
A 6-year-old sustained a fractured femur and was put in Russell traction 2 days ago. She screams in pain when she raises herself onto the bedpan. Which nursing diagnosis takes highest priority for this child?
a. Pain resulting from tissue trauma b. High risk for impaired skin integrity resulting from immobility c. Altered growth and development related to separation from family d. Altered urinary elimination related to immobility and traction
The primiparous client at 39 weeks' gestation calls the clinic and reports increased bladder pressure but easier breathing and irregular, mild contractions. She also states that she just cleaned the entire house
Which statement should the nurse make? 1. "You shouldn't work so much at this point in pregnancy." 2. "What you are describing is not commonly experienced in the last weeks." 3. "Your body may be telling you it is going into labor soon." 4. "If the bladder pressure continues, come in to the clinic tomorrow."
A patient with secondary hypertension has come into the clinic for a routine check-up. The nurse is aware that the difference between primary and secondary hypertension is what?
A) Secondary hypertension has a specific cause. B) Secondary hypertension has a more gradual onset than primary hypertension. C) Secondary hypertension does not cause target organ damage. D) Secondary hypertension does not respond to antihypertensive drug therapy.