An older adult patient recovering from a radical prostatectomy is discussing his postsurgical care plan with the nurse when he expresses concern about long-term impotence. The nurse initially responds
a. "I'd suggest a consult with a sexuality counselor for you and your partner."
b. "When you've healed sufficiently, we can discuss prosthetic devices that help."
c. "There are medications called phospho-diesterase inhibitors that minimize that problem."
d. "While postsurgical erectile dysfunction is likely, it is generally temporary."
D
Radical prostatectomy, a curative treatment for cancer of the prostate gland, involves a massive disturbance of hormone-producing glands, surrounding nerves, and urinary structures. This often results in temporary urinary incontinence and impotence. It may take 2 to 3 years to regain func-tion. Referring the patient so quickly indicates a lack of willingness to discuss the issue. Pros-thetic devices and medications imply the condition is permanent, and while the patient may need such assistive devices, the nurse should first provide encouraging information.
You might also like to view...
The nurse is administering a vaginal cream. After inserting the applicator and administering the cream, which instruction will the nurse provide to the client?
1. Wash the perineal area. 2. Remain supine for 5-10 minutes. 3. Sit in the chair for 5-10 minutes. 4. Lie in a side-lying position for 5-10 minutes.
A client newly admitted to the medical unit has needle tracks on both arms. A friend has stated that
the client uses heroin. The nurse should assess the client for a. slurred speech, excessive drowsiness, and bradycardia. b. runny nose, yawning, insomnia, and chills. c. anxiety, agitation, and aggression. d. paranoid delusions, tactile hallucinations, and panic.
The nurse is preparing the client for discharge after cardiac transplant. The client has a prescription for tacrolimus (Prograf). What should the nurse include in the instructions?
A) Do not take the medication with grapefruit juice. B) The medication may be crushed and put in chocolate milk. C) If a dose is skipped, you may double the next dose. D) Do not take any over-the-counter medications.
Common causes of pressure ulcers include which of the following?
a. Pressure b. Use of pillows for positioning c. A good blood supply d. Burns