The nurse counseling a couple who cannot conceive learns that ...

[SO00]

The nurse counseling a couple who cannot conceive learns that female infertility problems have been ruled out. What will the nurse expect to tell this couple?
 
  a. If medication is necessary for male infer-tility, treatment will last a few months.
  b. Male infertility is usually treatable with a combination of medications.
  c. Most male infertility is not linked to known endocrine disorders.
  d. Treatment with sildenafil Viagra will be necessary to improve fertility.

Question 2

A female patient with essential hypertension is being treated with hydralazine 25 mg twice daily. The nurse assesses the patient and notes a heart rate of 96 beats per minute and a blood pressure of 110/72 mm Hg. The nurse will request an order to:
 
  a. administer a beta blocker.
  b. administer a drug that dilates veins.
  c. reduce the dose of hydralazine.
  d. give the patient a diuretic.

[smrtceo]

Answer to Question 1

C
In most cases, infertility in males in not associated with an identifiable endocrine disorder, and with the exception of infertility associated with erectile dysfunction, male infertility is generally unresponsive to drugs. In rare cases, failure to produce sperm is related to insufficient gonado-tropin secretion and hCG may be used, but therapy is prolonged and may be required for up to 3 to 4 years. Treatment with sildenafil is necessary only when ED has been identified.

Answer to Question 2

A
This patient is showing signs of reflex tachycardia, so a beta blocker is indicated to slow the heart rate. Patients with heart failure who take hydralazine often require the addition of isosorbide dinitrate, which also dilates veins. There is no indication for reducing the dose of hydralazine. A diuretic can be given with hydralazine if sodium and water retention is present.

[SO00]

TYSM

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