Chapter 42 Medical Surgical Nursing Preparation For Practice 2nd Edition

Chapter 42  Medical Surgical Nursing Preparation For Practice 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
A 35-year-old male is concerned about his inability to sustain an erection. Which assessment questions would provide specific information about this condition?
1. “What medications, including prescription, over-the-counter, herbal, and street drugs, do you use?”
2. “Are you married?”
3. “What kind of work do you do?”
4. “Did you graduate from college?”
Correct Answer: 1
Rationale 1: Drug use, including both prescription and street drugs, can cause erectile dysfunction.
Rationale 2: Marital status is not associated with an inability to sustain an erection.
Rationale 3: Employment status is not associated with an inability to sustain an erection.
Rationale 4: Educational level is not associated with an inability to sustain an erection.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 42-2

Question 2
Type: MCSA
A 55-year-old patient who has a history of angina and is being treated with nitroglycerine asks for a prescription to aid with erectile dysfunction. Which nursing intervention is indicated?
1. Explain why the erectile dysfunction medication is not a good idea with the heart medication.
2. Provide education about the medication once the prescription is provided.
3. Remind the patient to stop taking the heart medication when planning to take the erectile dysfunction medication.
4. Suggest a behavioral health consult to analyze the reason for the erectile dysfunction.
Correct Answer: 1
Rationale 1: Medications for erectile dysfunction are contraindicated for the patient who is taking medications to manage cardiac conditions.
Rationale 2: Sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) should not be taken by men who are also taking nitrate-based drugs.
Rationale 3: Discontinuing cardiac drugs is not advisable.
Rationale 4: A behavioral health consult would not be the first or primary suggestion in this case, as physical issues should be explored.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 42-2

Question 3
Type: MCSA
A female patient asks the nurse for help because her husband has not been able to attain an erection in several months. Which nursing intervention should be performed first?
1. Assess the couple’s most recent sexual practices.
2. Suggest that she seek psychiatric counseling.
3. Suggest that the couple contact a marriage counselor.
4. Suggest that the husband talk to his physician about a prescription for sildenafil (Viagra).
Correct Answer: 1
Rationale 1: Assessment is always the first step of the nursing process. It is essential for health care providers to understand the patient and partner’s sexual pattern and habits to provide appropriate, individualized care.
Rationale 2: There is no indication that the wife requires psychiatric counseling.
Rationale 3: It is premature to suggest marital counseling.
Rationale 4: Additional assessment should be conducted before a prescription is recommended.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 42-6

Question 4
Type: MCSA
A patient comes into the emergency department with complaints of an erection that has lasted for more than 4 hours. Which topics should the nurse include in the patient’s assessment?
1. Use of medications for erectile dysfunction
2. Substance abuse
3. Blood pressure
4. Number of sexual partners
Correct Answer: 1
Rationale 1: Men who use injection therapy or sildenafil (Viagra) for erectile dysfunction are at risk for priapism.
Rationale 2: Substance abuse assessment would be included in any admission process but is not directly relevant to the sustained erection.
Rationale 3: Blood pressure measurements would be included in any admission process but are not directly relevant to the sustained erection.
Rationale 4: The number of sexual partners is not related to the problem.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 42-2