Author Question: The client has hyperesthesia apparently associated with a neurological trauma. Which one of the ... (Read 19 times)

SO00 · **on:** Jul 22, 2018

The client has hyperesthesia apparently associated with a neurological trauma. Which one of the following is an appropriate nursing intervention in regard to the client's sense of touch?

a. Reminding the client of the need to have frequent tactile contact
b. Keeping the client loosely covered with sheets and blankets
c. Allowing the client to lie motionless
d. Using touch as a form of therapy

Question 2

An older couple expresses concern because they are easily fatigued during sexual intercourse and cannot reach climax. The nurse knows that older adults may have changes in sexual functioning.

What strategies to increase sexual stamina could the nurse offer? (Select all that apply.) a. Avoid alcohol and tobacco.
b. Encourage intimate touching, such as hugging and kissing.
c. Eat well-balanced meals, and eliminate excess fats and sugars.
d. Plan sexual activity around a time when the couple feels rested.
e. Take pain medication before intercourse.
f. Use extra lubrication to decrease discomfort.

Hikerman221 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
If a client is overly sensitive to tactile stimuli (hyperesthesia), the nurse must minimize irritating stimuli. Keeping bed linens loose to minimize direct contact with the client and protecting the client's skin from exposure to irritants are helpful measures.
Frequent tactile contact is not an appropriate intervention for the client with hyperesthesia.
Allowing the client to lie motionless is not an appropriate intervention for the client with hyper-esthesia.
Using touch as a form of therapy would not be an appropriate nursing intervention for the client with hyperesthesia.

Answer to Question 2

A, C, D
Alcohol, tobacco, and certain medications (such as narcotics for pain) may cause drowsiness and fatigue and negatively affect sexual stamina. Eating well-balanced meals can help to increase energy levels. Planning sexual activity when the couple is well rested will help them not get fatigued as quickly. Encouraging intimate touching may help increase libido, but not energy levels. Extra lubrication and taking pain medications may ease the discomfort of sexual intercourse but are not appropriate interventions for a nursing diagnosis of fatigue.