Author Question: A 66-year-old man has presented to a nurse practitioner to get a refill for his antiplatelet ... (Read 143 times)

imowrer · **on:** Jun 25, 2018

A 66-year-old man has presented to a nurse practitioner to get a refill for his antiplatelet medication.

The client has a history of ischemic heart disease and suffered a myocardial infarction 5 years ago and has unstable angina; he uses a transdermal nitroglycerin patch to control his angina. The client has a 40 pack-year smoking history and uses nebulized bronchodilators at home for the treatment of transient shortness of breath. He has long-standing hypertension that is treated with a potassium-sparing diuretic and a -adrenergic-blocking medication. During the nurse's assessment, the man states that he has been unable to maintain his erection in recent months. Which of the following aspects of the man's health problems and treatments would the nurse identify as contributing to his erectile difficulty (ED)? Select all that apply. His
A)
antihypertensive medications.
B)
use of bronchodilators.
C)
hypertension.
D)
diuretic use.
E)
smoking history.
F)
age.

Question 2

A 31-year-old male was diagnosed with genital herpes of the HSV-2 type 5 years ago. He is now broaching the subject with a woman he has recently formed a relationship with. Which of his statements is most accurate?

A)
If you've been exposed to the herpes virus in the past, then there's no significant risk of reinfection.
B)
The worst case scenario is that you'll develop cold sores, since this is the type of herpes virus that I've got.
C)
If you've had cold sores when you were younger, it means that you've got antibodies against this type of herpes virus.
D)
Even when I'm not having a recurrence, I could still pass the virus on to you.

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

Answer to Question 1

Ans:
A, C, E, F

Feedback:

Hypertension, antihypertensive medications, age, and smoking are all implicated in the etiology of ED. Ischemic heart disease and bronchodilators are less likely to directly contribute to the condition.

Answer to Question 2

Ans:
D

Feedback:

HSV transmission can occur both during and between recurrences. HSV-2 is associated more with genital herpes than cold sores, and cold sores do not provide antibody protection. Prior contact with the virus does not confer immunity.