Chapter 65: Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia

Chapter 65: Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. The nurse educator is teaching a group of nurses about various pharmaceutical agents. The group begins discussing drugs for erectile dysfunction. Which statement by one of the nurses best demonstrates understanding of these drugs? “The division of the nervous system that is physiologically the most involved with erection is the _____ division.”

a.	parasympathetic
b.	sympathetic
c.	autonomic
d.	somatic

 

 

ANS:   A

Sexual arousal increases parasympathetic nerve traffic to the penis.

These divisions of the nervous system are not physiologically most involved with erection.

 

DIF:    Cognitive Level: Application             REF:    p. 777

TOP:    Nursing Process: Evaluation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation

 

2. A nurse is admitting a patient to a medical-surgical unit. While the nurse is obtaining a health history, the patient discusses his sexual history. Which comment by the patient would warrant further discussion?

a.	“Sometimes I can’t perform. I know it’s possibly due to my diabetes.”
b.	“Sure, I’ve had some depression, but that wouldn’t interfere with my sex life.”
c.	“I’ve had some depression lately, and sex doesn’t really interest me.”
d.	“I’ve had so much stress at work that sex doesn’t seem important right now.”

 

 

ANS:   B

The patient’s statement he has depression but does not associate it with interference in his sex life, warrants education by the nurse on the contributing factors of erectile dysfunction (ED).

Erectile dysfunction is commonly associated with chronic illnesses, especially diabetes, hypertension, and depression.

Not having an interest in sex is different from being unable to perform.

Stress may affect desire, but it does not automatically mean that the patient cannot perform.

 

DIF:    Cognitive Level: Application             REF:    p. 777

TOP:    Nursing Process: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation

 

3. The nurse is reviewing a patient’s medications prior to administration. The drug-drug interaction of most concern to the nurse is concurrent use of sildenafil (Viagra) and

a.	nitroglycerin.
b.	aspirin.
c.	thiazide diuretics.
d.	anticoagulants.

 

 

ANS:   A

Concurrent use of sildenafil and nitrates or alpha blockers would most concern the nurse, because severe hypotension may occur.

Aspirin, thiazide diuretics, and anticoagulants have no known drug-drug interaction with sildenafil.

 

DIF:    Cognitive Level: Application             REF:    p. 779

TOP:    Nursing Process: Planning

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A nurse’s neighbor is a healthy 75-year-old man. He confides in the nurse about problems with urination, saying, “It’s hard to get it going. What can I take to help it? I don’t want to go see a doctor.” Which natural preparation might be helpful for this individual?

a.	Peppermint
b.	Ginkgo
c.	Saw palmetto
d.	St. John’s wort

 

 

ANS:   C

Saw palmetto is a herbal product used widely to treat benign prostatic hypertrophy (BPH).

Peppermint, ginkgo, and St. John’s wort have no effect on the prostate.

 

DIF:    Cognitive Level: Application             REF:    p. 783

TOP:    Nursing Process: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies