A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient's health history. Which patient statements should the nurse further investigate?

Select all that apply.
1. "I take medications to help me sleep several times per week."
2. "I had the mumps when I was a boy."
3. "I had a vasectomy 4 years ago."
4. "I have had diabetes for several years."
5. "My wife has a history of cervical cancer."


Correct Answer: 1, 4
The causes of impotence may be related to medication use, performance anxiety or chronic disease processes. The patient who takes tranquilizers or medications for sleep may experience impotence. Diabetes mellitus over time may cause vascular damage, resulting in impotence. Having the mumps may result in male infertility, not impotence. Having a vasectomy results in sterility, not impotence. The presence of cervical cancer in a partner is not linked to impotence.

Nursing

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A) administers the insulin into a doll at a 30-degree angle. B) draws up the short-acting insulin into the syringe first. C) wipes off the needle with an alcohol swab. D) administers the insulin intramuscularly into rotating sites.

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What will be an ideal response?

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The nurse is preparing to increase the amount of ambulation that the patient is able to tolerate, to prepare for discharge. Which is the best method for the nurse to assess a patient's ability to am-bulate?

a. Interview the patient's visitors. b. Talk with the patient about the distance to ambulate. c. Review the patient progress notes. d. Measure the distances ambulated.

Nursing