While the nurse is measuring blood pressure, the client lifts his ...

[scienceeasy]

While the nurse is measuring blood pressure, the client lifts his hand and fondles the nurse's breast. What should the nurse do about this behavior?
 
  1. Ignore the fondling.
  2. Move the client's hand away.
  3. Refocus the client on appropriate behavior.
  4. Tell the client to stop performing the behavior.
  5. Communicate that the behavior is not acceptable.

Question 2

When discussing the orgasmic phase of the sexual response cycle, what should the nurse include as physiological changes that affect both sexes?
 
  1. The respiratory rate can increase up to 40 breaths per minute.
  2. Involuntary muscle spasms occur throughout the body.
  3. The heart rate decreases to 20 beats below normal.
  4. Systolic blood pressure can increase 2030 mm Hg above normal.
  5. Diastolic blood pressure can decrease 2050 mm Hg below normal.

[blakeserpa]

Answer to Question 1

Correct Answer: 2, 3, 4, 5

Rationale: The nurse needs to set limits with the client, and ignoring the behavior would communicate that it is acceptable.

Answer to Question 2

Correct Answer: 1, 2, 4
Rationale: Physiological changes that affect both sexes during the orgasmic phase of the sexual response cycle include an increase in respiratory rate of up to 40 breaths per minute.

[scienceeasy]

Thanks for the timely response, appreciate it

[epscape]

Great answer, keep it coming