The patient has lung cancer and voices concerns about his cancer treatment. He wants to know how chemotherapy will affect his sexuality. What is the nurse's best reply?
a. "Chemotherapy will work in the lungs and should have no effect on your sexuality."
b. "That is something that you should ask your doctor. He can direct you."
c. "Sexual changes are common with cancer therapy. Let me get someone who can answer your questions."
d. "How cancer treatment affects sexuality depends on how active you are and your age."
C
Cancer therapies have the potential to cause fatigue, apathy, nausea, vomiting, malaise, and sleep disturbances, all of which interfere with a patient's libido. It helps if the nurse can develop a comfort level in acknowledging with patients that sexual changes are common at any age level. When patients begin to discuss their sexual problems, know the expert resources in your institution (e.g., psychologist, social worker) who are available for patient referral. The issue should not be pushed onto the physician. Patients appreciate the nurse's sensitivity and interest in their well-being.
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