During a physical assessment, the client tells the nurse that his ...

[WWatsford]

During a physical assessment, the client tells the nurse that his penis hurts when it is touched. The nurse would suspect that the client is experiencing which of the following?
 
  1. Inflammatory disease
   2. Acute epididymitis
   3. Urethral stricture
   4. Acute orchitis

Question 2

A female client tells the nurse that she has lost interest in sex with her husband since it has become painful. The nurse realizes this client is describing:
 
  1. Body image disturbance.
   2. Sexual arousal disorder.
   3. Sexual pain disorder.
   4. Orgasmic disorder.

[fwbard]

Answer to Question 1

3. Urethral stricture

Rationale:
Normally, palpation of the penis should not cause tenderness. The client's complaining of it hurting could indicate a urethral stricture. Redness or lesions on the penis could indicate inflammatory disease. Acute epididymis and acute orchitis are associated with a tender scrotum.

Answer to Question 2

2. Sexual arousal disorder.

Rationale:
A sexual arousal disorder is a subjective lack of sexual excitement that is linked with a lack of lubrication in the female. This is what the client is describing. Body image is how one feels about one's body. The client is not describing dissatisfaction with her body. Sexual pain disorder is pain during and after intercourse that is usually linked to a sexually transmitted infection. An orgasmic disorder is the inability to reach a satisfactory conclusion or orgasm from sexual activity.

[WWatsford]

Excellent

[ktidd]

TYSM