A 58-year-old man with erectile dysfunction (ED) tells the nurse ...

[kodithompson]

A 58-year-old man with erectile dysfunction (ED) tells the nurse he is interested in using sildenafil (Viagra). Which action should the nurse take first?
 
  a. Assure the patient that ED is common with aging.
  b. Ask the patient about any prescription drugs he is taking.
  c. Tell the patient that Viagra does not always work for ED.
  d. Discuss the common adverse effects of erectogenic drugs.

Question 2

The nurse in a health clinic receives requests for appointments from several patients. Which patient should be seen by the health care provider first?
 
  a. A 48-year-old man who has perineal pain and a temperature of 100.4 F
  b. A 58-year-old man who has a painful erection that has lasted over 6 hours
  c. A 38-year-old man who states he had difficulty maintaining an erection last night
  d. A 68-year-old man who has pink urine after a transurethral resection of the prostate (TURP) 3 days ago

[nital]

Answer to Question 1

ANS: B
Because some medications can cause ED and patients using nitrates should not take sildenafil, the nurse should first assess for prescription drug use. The nurse may want to teach the patient about realistic expectations and adverse effects of sildenafil therapy, but this should not be the first action. Although ED does increase with aging, it may be secondary to medication use or cardiovascular disease.

Answer to Question 2

ANS: B
Priapism can cause complications such as necrosis or hydronephrosis, and this patient should be treated immediately. The other patients do not require immediate action to prevent serious complications.

[kodithompson]

Excellent

[samiel-sayed]

TYSM