A man who has cardiovascular disease and takes nitroglycerin for angina pain develops erectile dysfunction. The primary care NP who cares for this patient should recommend:
a. sildenafil (Viagra).
b. testosterone injections.
c. vascular reconstruction surgery.
d. use of a vacuum constriction device.
D
Deaths have been reported in men on concomitant treatment with oral nitrates who are taking sildenafil. Patients with erectile dysfunction should be advised to try nonpharmacologic treatment, such as a vacuum constriction device. Testosterone injections are used for men with documented androgen deficiency. Vascular reconstruction surgery may be used for men with decreased blood flow and should be considered if other treatments are ineffective.
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Which topic would likely appear on the agenda for a staff meeting chaired by a nurse manager who follows transactional leadership theory? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. Progress on request to increase personal day benefits 2. Review of policy and procedure for unit evacuation 3. The value of teamwork 4. Being empathetic with clients 5. Standardized first of shift assessments
A postoperative client tells the nurse he is not in excessive pain. The nurse observes that the client's labored respirations and increased perspiration when moving in the bed
The nurse may consider administration of a pain medication based on the client's: a. feedback c. nonverbal communication b. kinesthetic communication d. verbal communication
A client complains of not being able to stay awake during the day even after sleeping throughout the night. What should the nurse suggestion to this client?
1. Go to your physician for a physical examination. 2. Go to a mental health professional for evaluation of possible depression. 3. Purchase an over-the-counter sleep aid to deepen nighttime sleep. 4. Drink more caffeinated beverages in the daytime to stay awake.
As death approaches, a patient with acquired immunodeficiency syndrome (AIDS) says, "I don't want to see a lot of visitors anymore. Just my parents and my sibling can come in for a while each day." What action should the nurse take?
a. Ask the patient to reconsider the decision because many interested and caring friends can be sources of support. b. Discuss the request with the parents and sibling. Suggest that they explain the patient's decision to friends. c. Suggest that the patient discuss these wishes with the health care provider. d. Place a "no visitors" sign on the patient's door.