A nurse reviews the medications of a 58-year-old man who has ...

[jerry coleman]

A nurse reviews the medications of a 58-year-old man who has erectile dysfunction. Which of the following prescribed medications can interfere with sexual functioning? (Select all that apply.)
 
  A) Acetylsalicylic acid (aspirin)
  B) Metoprolol (Lopressor)
  C) Clopidogrel (Plavix)
  D) Lisinopril (Prinivil)
  E) Ezetimibe (Zetia)

Question 2

A nurse who provides care in a nursing home occasionally encounters colleagues' prejudices and misperceptions around the sexual wellness of residents. Which of the following statements reflects an appropriate view of sexual health in older adults?
 
  A) I think it's just so cute when residents think that they're dating each other.
  B) We need to make sure that residents get the teaching they need before we allow a sexual relationship.
  C) Older adults need companionship and comfort much more than they need sex.
  D) Let's do all we can to facilitate competent residents' sexual relationships.

[Jane]

Answer to Question 1

Ans: B, D
Metoprolol and lisinopril interfere with libido and can cause erectile dysfunction in men. Acetylsalicylic acid, clopidogrel, and ezetimibe do not. Of note, these medications indicate cardiovascular disease which is strongly associated with sexual dysfunction.

Answer to Question 2

Ans: D
Among competent older adults, autonomy around sexual relationships should be protected and fostered. It is untrue that older adults have little need for sex and it is inappropriate for a nurse to prohibit a relationship pending education. Referring to older adults' relationships as cute is patronizing and inappropriate.

[jerry coleman]

Wow, this really help

[amit]

Great answer, keep it coming