The nurse is providing pre-operative care for an 80-year-old patient who is scheduled to have prostate surgery. The patient says, "I know a man who was impotent after this surgery. Will that happen to me?" Which response by the nurse is most appropriate?
a. "There are many treatments available if it does occur."
b. "Most men your age learn to deal with erectile dysfunction if it does occur."
c. "Impotence should not be a problem; sperm production is not affected by this surgery."
d. "Some prostate surgery can cause erectile dysfunction. I'll ask your surgeon to explain the risks to you."
ANS: D
Some types of prostate procedures can lead to erectile dysfunction. The physician needs to address this risk with the patient. A. B. C. It is inappropriate for the nurse to talk about treatments, because it is not known from the information given if the patient is having a high-risk procedure. There is no reason to alarm the patient unnecessarily.
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A client's axillary temperature is 100.8°F. The nurse realizes this is outside normal range for this client, and that axillary temperatures do not reflect core temperature. What should the nurse do to obtain a good estimate of the core temperature?
a. Add 1°F to 100.8°F to obtain an oral equivalent. b. Add 2°F to 100.8°F to obtain a rectal equivalent. c. Obtain a rectal temperature reading. d. Obtain a tympanic membrane reading.
The nurse is working with a client who has Crohn's disease who is noncompliant with the medical regimen of care. The nurse plans to teach the client about the complications and risk factors associated with Crohn's disease
Which of the following is most important for the nurse to include for this client during teaching? 1. Diarrhea 2. Vomiting 3. Intestinal obstruction 4. Bowel perforation
Enteral therapy has been initiated on a client who is now exhibiting nausea and vomiting. Based on this information, what conclusion does the nurse reach regarding the nausea and vomiting?
1. It is caused by irritation of the gastric tube along the stomach serosa. 2. It is caused by an allergic reaction to the feeding. 3. It is caused by the type or amount of feeding. 4. It is caused by a viral agent common to clients with feeding tubes.
In teaching a client who has been prescribed a benzodiazepine for panic disorder, the nurse must be certain to do what?
A) Educate the client that this medication has a high risk for withdrawal symptoms, and he should not discontinue without a doctor's supervision. B) Educate the client that this medication will interact with certain food groups. C) Instruct the client to come in every other week to get blood drawn and monitor for agranulocytosis. D) Instruct the client that if he has palpitations, he should contact his physician immediately because of the risk for arrhythmias with this medication.