A male patient takes carbamazepine (Tegretol). The spouse reports ...

[mckennatimberlake]

A male patient takes carbamazepine (Tegretol). The spouse reports sexual dysfunction, but the patient adamantly denies he has this problem. What response by the nurse is best?
 
  a. Telling him, You need to think of your wife's needs too.
  b. Telling him this is common and can be discussed if wanted.
  c. Questioning the patient again about sexual functioning
  d. Telling the doctor to change the patient's prescription

Question 2

Which statement, if made by an older Caucasian adult man, indicates the need for further teaching about prostate cancer and its prevention?
 
  a. Digital rectal examinations aren't needed for screening.
  b. I should discuss having a yearly PSA test.
  c. Prostate cancer can look a lot like an en-larged prostate.
  d. I am not in a high-risk category for pros-tate cancer.

[frankwu0507]

Answer to Question 1

B
The nurse should provide the information that this drug causes ED and leave the door open for the patient. This way the patient knows he has permission to bring the topic up in the future. Repeatedly questioning the patient about sexual functioning is not likely to encourage the nurse-patient relationship. Telling the doctor to change the prescription is overstepping the pa-tient's autonomy.

Answer to Question 2

A
The digital rectal exam and prostate-specific antigen (PSA) blood test are the two main screening methods for prostate cancer. Men should begin discussions about screening for this cancer when they are 50 . The digital rectal exam is less costly than a blood test. The other statements show understanding.

[mckennatimberlake]

Thanks for the timely response, appreciate it

[scottmt]

Gracias!