Erectile dysfunction 150

Question 1

What diagnostics would the nurse expect to be ordered for her pt with erectile dysfunction? (select all)

A. Duplex ultrasound
B. MRI with contrast
C. Nocturnal penile tumescence
D. CBC, LFT, eGFR, TSH, Testosterone
E. Sperm count test

Answer 1

A
C
D

Question 2

When the Gooch is stimulated, what causes an erection?

A. Urethral sphincter reflex
B. Bulbocavernosus reflex
C. Pudendal nerve reflex

Answer 2

B

Question 3

Which medications should the nurse instruct her pt to avoid while taking nitrates? (select all)

A. Alprostadil
B. Labetalol
C. Sildenafil
D. Papaverine

Answer 3

A
C
D

Question 4

What else should the nurse instruct her pt to stay away from while on PDE’s and vasoactive agents for ED? (select all)

A. Alcohol
B. St. Johns Wart
C. Ginko
D. Grapefruit

Answer 4

A
D

Question 5

Which statement by the pt shows understanding about there new med: Sildenafil and Papaverine

A. I should crush this for a faster reaction
B. It’s ok to take this multiple times a day
C. I should warn my partner about the size
D. I should take this 1 hour before sex

Answer 5

D

Question 6

What are a few causes of ED? (select all)

A. Hypogonadism
B. Decreased sensation
C. Blocked blood flow
D. Reduced collagen

Answer 6

A
B
D

Question 7

To get a medical diagnosis of erectile dysfunction, what needs to be present?

A. Persistent problem for 6 months
B. 3 or more occurrences in 1 week
C. Persistent problem for 3 months

Answer 7

C

Question 8

To get a psychiatric diagnosis of erectile dysfunction, what needs to be present?

A. Persistent problem for 6 months
B. 3 or more occurrences in 1 week
C. Persistent problem for 3 months

Answer 8

A

Question 9

Which type of ED is:
-Extreme difficulty ejaculating, despite the ability to maintain an erection for long periods

A. Premature ejaculation
B. Delayed ejaculation
C. Retrograde ejaculation

Answer 9

B

Question 10

Which type of ED is:
-Consistently ejaculates prior to or shortly after penetration

A. Premature ejaculation
B. Delayed ejaculation
C. Retrograde ejaculation

Answer 10

A

Question 11

Which type of ED is:
-Ejaculation occurs, but the fluid travels into the bladder instead of out through the urethra

A. Premature ejaculation
B. Delayed ejaculation
C. Retrograde ejaculation

Answer 11

C

Question 12

Which PDE5 is given Intravenously only?

A. Avanafil
B. Sildenafil
C. Tadalafil
D. Vardenafil

Answer 12

B

Question 13

Which statement by the pt shows understanding of there new med: Alprostadil (Prostaglandins) select all

A. I should take this 1hr before having sex
B. I should notify the dr if I have an erection for more than 6hrs
C. I need to avoid ARB’s and Nitrates
D. I will inject this into the side of my penis
E. I can insert it into my urethra

Answer 13

B
C
D
E

Question 14

Which Nopharm intervention can the nurse recommend for her pt with delayed ejaculation?

A. Condoms
B. Lubricant
C. Vibratory stimulation
D. Forceful pumping

Answer 14

C

Question 15

Which Nopharm intervention can the nurse recommend for her pt with premature ejaculation?

A. Condoms
B. Lubricant
C. Vibratory stimulation
D. Forceful pumping

Answer 15

A

Question 16

A male patient in his 60s is newly diagnosed with erectile dysfunction. Which of the following conditions in the patient’s history is most likely contributing to this diagnosis?

A. Seasonal allergies
B. Osteoarthritis
C. Hypertension
D. GERD

Answer 16

C

Question 17

A nurse is reviewing medications with a patient who has been prescribed sildenafil (Viagra). Which of the following patient statements indicates the need for further teaching?

A. “I will not take this medication with alcohol.”
B. “If I experience chest pain, I’ll take my nitroglycerin immediately.”
C. “I should take the pill about 30 to 60 minutes before sexual activity.”
D. “This medication might cause facial flushing and headache.”

Answer 17

B

Question 18

The nurse is caring for a male patient who expresses frustration and embarrassment about his erectile dysfunction. What is the nurse’s best initial response?

A. “This is a common problem, and there are medications that can help.”
B. “Maybe you should talk to a therapist about this issue.”
C. “Are you still sexually active with your partner?”
D. “Why didn’t you bring this up with your provider sooner?”

Answer 18

A

Question 19

A patient taking tadalafil (Cialis) reports new-onset vision changes. What is the nurse’s best action?

A. Reassure the patient that this is a common side effect
B. Instruct the patient to lie down and rest
C. Instruct the patient to stop the medication and notify the provider immediately
D. Advise the patient to wait 24 hours and reassess symptoms

Answer 19

C

Question 20

During discharge teaching, which instruction should the nurse prioritize to support erectile function in a patient with Type 2 diabetes?

A. “Avoid hot showers immediately after meals.”
B. “Maintain good blood glucose control to improve vascular health.”
C. “Wear tight underwear to improve circulation.”
D. “You should avoid any exercise that increases your heart rate.”

Answer 20

B

Question 21

A male patient taking vardenafil (Levitra) reports seeing a blue tinge to his vision and increased light sensitivity. What should the nurse do?

A. Document the complaint and reassure the patient
B. Instruct the patient to stop the medication and notify the provider
C. Advise the patient to wear sunglasses when outdoors
D. Suggest changing the time of day the drug is taken

Answer 21

B

Question 22

Which of the following is a common, non-life-threatening side effect of sildenafil (Viagra) that the nurse should educate the patient about?

A. Sudden hearing loss
B. Headache and nasal congestion
C. Irregular heart rhythm
D. Chest pain and dizziness

Answer 22

B

Question 23

A patient calls the nurse line reporting sudden hearing loss after taking a dose of sildenafil. What is the most appropriate nursing action?

A. Suggest resting in a quiet environment and reassess in the morning
B. Instruct the patient to contact the provider immediately
C. Recommend warm compresses to the ear
D. Advise switching to a different ED medication

Answer 23

B