When a 19-year-old male client tells the nurse that he has never been able to achieve an erection, the nurse recognizes that the client is experiencing:

A) sexual identity problems.
B) primary impotence.
C) secondary impotence.
D) ejaculatory dysfunction.


Ans: B
Feedback:
Primary impotence refers to a man who has never been able to achieve an erection necessary for intercourse; secondary impotence refers to a man who was once successful in attaining and maintaining erections but who has subsequently experienced difficulty. Causes of impotence, whether primary or secondary, can be physiologic, psychological, or both. Certain manifestations may indicate the probability that the problem is secondary to a physiologic or a psychological factor.

Nursing

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Computerized charting will be initiated on select units of the hospital. Orientation to this new system will be provided to each nurse by a team of nurses educated in nursing informatics. This is an example of which type of change strategy?

1. Normative-reeducative strategies 2. Lippitt's phases 3. Empirical-rational model 4. Power-coercive strategies

Nursing

The LPN is preparing to add a new IV of D5W with potassium to an existing line. The LPN notices that there is only 25 mL of urine collected over the last hour. The LPN's best inter-vention is to:

1. not hang the IV with potassium; inform the RN of urine output. 2. run the IV rapidly for 30 minutes to stimulate urine production. 3. call the MD who ordered the potassium. 4. hang the IV as ordered and chart output.

Nursing

The nurse assesses the fluid balance in a client. Which of the following findings would support a fluid volume deficit?

A) dry skin, decreased heart rate, and increased blood pressure B) increased heart rate, increased blood pressure, and cold clammy skin C) decreased heart rate, decreased blood pressure, and diaphoresis D) decreased blood pressure, increased heart rate, and dry skin

Nursing

Of the following patients, who is most likely to need a neurologic assessment?

A) A 2-year-old, in for a well-child visit, sitting quietly on mother's lap B) An 8-year-old with rhinitis, coloring in a book C) An 18-year-old car accident victim who appears sleepy D) A 56-year-old patient with complaints of difficulty breathing

Nursing