Question

Mr.J, age 23, comes to the clinic today with vague complaints of "just not feeling good". While going through the review of systems, he offhandedly mentions that he "can't get it up like I did in the past, but no big deal". 1. How will the nurse respond to this comment? He reports that it is difficult to have an erection, and when he does, it only lasts a few seconds. 2.What is he most likely describing? 3.What questions would be appropriate to help identify the etiology? Give the 4.Mr. J wants to know why the nurse is asking him so many questions. How rationale for each question. would you explain this line of questioning to him? 5.Why would the nurse consider recommending a cardiovascular evaluation for someone with this condition?

Answer 1

1. The nurse replied to the patient as "you are doing good. Don't worry. Anyway, I will examine you completely to detect the exact cause of your problem. Be active and energetic and always keep your mind fresh which helps you a lot.

2. He is most likely describing "he is sexually not active".

3. Are you sexually active?. To know the client sexual status.

Do you feel any tiredness on rest?. To know the physical health condition.

Are you feeling of breathing difficulty on exertion? To know the cardiac status.

What are the signs and symptoms present currently? To rule out the diagnosis.

Can I know about your past medical history? To determine the client past health status.

Can I know about the family history? To detect the possibilities of the genetical problem in the client.

4. Asking too many questions help me to understand your health condition, rule out the diagnosis, cause of the problem, and to prioritize the problems and plan interventions accordingly.

5. Erectile dysfunction may be associated with heart disease. During erection, the large amount of blood delivered to the penis. So dysfunction is due to a problem in the flow of blood. So it can be a warning sign of heart disease. So cardiovascular evaluation is necessary for these kinds of patients.