A patient comes into the emergency department with complaints of ...

[jc611]

A patient comes into the emergency department with complaints of an erection that has lasted for more than four hours. What should the nurse include in the patient's assessment?
 
  1. prescribed medications
  2. substance abuse
  3. blood pressure
  4. number of sexual partners

Question 2

A female patient asks the nurse for help because her husband has not been able to attain an erection in several months. What can the nurse do to help this patient?
 
  1. Assess for the most recent sexual practices.
  2. Suggest that she seek psychiatric counseling.
  3. Suggest that they both see a marriage counselor.
  4. Provide a prescription for tadalafil (Cialis).

[deja]

Answer to Question 1

Correct Answer: 1
Men who use intracavernous injection therapy or tadalafil (Cialis) for erectile dysfunction are at risk for priapism. Substance abuse assessment and blood pressure measurements would be included in any admission process but do not have a direct influence on the sustained erection. Number of sexual partners is not related to the problem.

Answer to Question 2

Correct Answer: 1
It is essential for health care providers to understand the patient and partner's sexual pattern in order to provide appropriate, individualized care. It is premature to suggest marital or psychiatric counseling. Prescribing medications is beyond the nurse's scope of practice.

[jc611]

TYSM

[juliaf]

Excellent