The nurse has completed an assessment on an adult male client and find

The nurse has completed an assessment on an adult male client and finds that he is having diffi-culty having an erection and has less interest in sex. The nurse notes that the client has recently started taking an antihypertensive medication.

A nursing diagnosis of sexual dysfunction related to side effects of antihypertensive is identified by the nurse. An appropriate outcome for this client is:
1. Client will avoid taking medication before intercourse
2. Client will relate renewed interest in sex within 1 month
3. Client will be interviewed by a sexual therapist immediately
4. Client will seek out other satisfying substitute activities or hobbies

ANSWER

ANS: 2
An appropriate expected outcome for the nursing diagnosis of sexual dysfunction related to side effects of antihypertensive would be client will relate renewed interest in sex within 1 month. An appropriate goal would be client will express satisfaction with sexual relationship with wife within 1 month. The client should not avoid taking his antihypertensive medication before intercourse, but should be taught that there are other blood pressure medications available that can maintain blood pressure control and that do not negatively affect sexual function. He can then discuss this with his physician. Being interviewed by a therapist is not an appropriate expected outcome. Seeing a sexual therapist immediately is not necessary and may only intensify his concern. Seek-ing out substitute activities or hobbies is not an appropriate expected outcome. It does not ad-dress or resolve the problem.