Question

A 56 yr old man started antihypertensive drugs 3 mths earlier and is in the office for a follow up visit. While the nurse is taking his blood pressure he informs the nurse that he has had some problems with sexual intercourse. Which would be the most appropriate response by the nurse?

a. "Not to worry, evetually tolerance will develop"
b. "The physician can work with you on changing the dose and or drugs"
c. "Sexual dysfunction happens with this therapy, and you must learn to accept it"
d. " This is an unusual occurrence, but it is important to stay with your meds."

Answer 1

The nurse should suggest that the patient discusses the issue with their physician, who can adjust the medication or dosage to address sexual dysfunction caused by antihypertensive drugs, which is a known side effect.

Step-by-step explanation:

The most appropriate response by the nurse to a 56-year-old man who has experienced sexual dysfunction after starting antihypertensive drugs is: 'The physician can work with you on changing the dose and/or drugs' (option b). This acknowledges the side effect and provides an actionable next step, suggesting that a consultation with the physician could lead to adjustments in medication that can alleviate the issue without compromising the treatment of hypertension.

Erectile dysfunction is a known potential side effect of certain blood pressure medications. Beta-blockers and diuretics, for instance, can cause erectile dysfunction, and if a patient experiences these unwanted effects, a doctor may consider prescribing a different class of blood pressure medication. This response maintains a professional tone, informs the patient that sexual dysfunction can occur with antihypertensive therapy, and supports patient-physician collaboration. It is important to manage side effects effectively, as they can impact adherence to medication regimens and therefore the overall management of hypertension.