Author Question: A male client tells the nurse that he has no idea why his wife wants to stay married to him because ... (Read 103 times)

kfurse · **on:** Jun 25, 2018

A male client tells the nurse that he has no idea why his wife wants to stay married to him because he has not been able to perform sexually since his prostate surgery.

Which diagnosis would be appropriate for this client?
A) Ineffective Coping
B) Situational Low Self-Esteem
C) Hormonal Imbalance
D) Sexual Dysfunction

Question 2

The nurse is instructing a client about the medication sildenafil (Viagra). Which client statement indicates teaching has been effective?

A) Viagra should be taken with food.
B) I can take Viagra anywhere from 1 to 6 hours before sex.
C) I can take only one pill in a 24-hour period.
D) Grapefruit juice will decrease the effects of Viagra.

diesoon · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

The client is viewing himself as less than a man and is concerned with his wife wanting to remain married to him. Situational Low Self-Esteem is the most appropriate nursing diagnosis for the client at this time. Sexual dysfunction is associated with anxiety concerning the cause of the dysfunction, which is not the case for the client. The client may or may not be experiencing ineffective coping. Hormonal imbalance is not a nursing diagnosis.

Answer to Question 2

Answer: C

Taking only one pill in a 24-hour period is the recommended dosing for sildenafil (Viagra). Grapefruit juice can lead to increased, not decreased, levels of sildenafil. Sildenafil should be taken on an empty stomach, not with food. The optimum time for administration is 1 hour before sex, but it can be taken up to 4 hours before sex.