Author Question: A client with hypertension and diabetes mellitus asks the nurse what can be done to prevent the ... (Read 116 times)

Beheh · **on:** Jul 23, 2018

A client with hypertension and diabetes mellitus asks the nurse what can be done to prevent the onset of erectile dysfunction. What measures can the nurse suggest?

Standard Text: Select all that apply.
1. Maintaining optimal body weight
2. Stopping smoking
3. Limiting alcohol intake
4. Exercising more
5. Following a low-sodium, low-fat diet

Question 2

The nurse is reviewing the current medications of a client with oligospermia. Which client medications would have a negative effect on sperm production?

Standard Text: Select all that apply.
1. Colchicine
2. Spironolactone
3. Cimetidine
4. Acetaminophen
5. Metoprolol

connor417 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: All clients at risk for erectile dysfunction should be encouraged to maintain an optimal body weight.
Rationale 2: All men at risk for erectile dysfunction should be encouraged to stop smoking.
Rationale 3: All men at risk for erectile dysfunction should be encouraged to limit alcohol intake.
Rationale 4: Exercise does not prevent erectile dysfunction.
Rationale 5: A low-sodium, low-fat diet does not prevent erectile dysfunction.
Global Rationale: All clients at risk for erectile dysfunction should be encouraged to maintain an optimal body weight, to stop smoking, and to limit alcohol intake. Exercise does not prevent ED, nor does low-sodium, low-fat diet; however these strategies may help the patient to avoid obesity.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Colchicine can lower sperm production.
Rationale 2: Spironolactone can lower sperm production.
Rationale 3: Cimetidine can lower sperm production.
Rationale 4: Acetaminophen is not known to lower sperm production.
Rationale 5: Metoprolol is not known to lower sperm production.
Global Rationale: Colchicine, spironolactone, and cimitidine can lower sperm production. This is not an effect of acetaminophen or metoprolol.