Author Question: The nurse is updating a care plan for a 65-year-old patient just admitted to the unit for ... (Read 49 times)

sabina · **on:** Jul 23, 2018

The nurse is updating a care plan for a 65-year-old patient just admitted to the unit for uncontrolled blood glucose associated with type 2 diabetes. The patient has had diabetes for 5 years.

While the nurse is obtaining a health history, the patient confides that he experiences erec-tile dysfunction. Select the best nursing diagnosis to add to the plan of care. a. Noncompliance related to ineffective control of blood glucose, as evidenced by erectile dysfunction and loss of libido
b. Activity intolerance related to chronic disease processes secondary to type 2 di-abetes, as evidenced by erectile dysfunction
c. Body image disturbance related to erectile dysfunction, as evidenced by the pa-tient's complaints of loss of libido
d. Sexual dysfunction related to microvascular changes secondary to type 2 di-abetes, as evidenced by erectile dysfunction

Question 2

A 30-year-old female patient is to be started on misoprostol (Cytotec) for treatment of a gastric ulcer secondary to long-term ibuprofen (Motrin) use. Which of the following must the nurse in-clude in the patient education?

a. Start taking the drug at the end of your next menstrual period.
b. Take the medication 1 hour before meals.
c. Use a reliable method of birth control.
d. Perform a breast self-examination weekly while on the medication.

spencer.martell · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
The patient has apparent sexual dysfunction, because microvascular changes in the body can oc-cur as a result of poor circulation in patients with diabetes. This answer would be the best and most appropriate for the patient's plan of care.
There is no evidence of noncompliance in this scenario.
The patient does not complain of energy loss or activity intolerance, and that should not be as-sumed.
Body image disturbance is typically associated with the loss of a limb or with not liking your body image. Loss of libido is loss of desire, which is not conveyed in this scenario.

Answer to Question 2

C
Because the patient is of childbearing age, she must be able to comply with birth control meas-ures and use a reliable method. The patient must have a negative serum pregnancy test within 2 weeks of starting therapy. The drug is contraindicated during pregnancy because it can lead to partial or complete expulsion of the fetus.
The medication should be started only on the second or third day of the next normal menstrual cycle.
The medication should be taken with meals (not before) and at bedtime.
There is no basis for performing breast self-examination more often.