Get Answer: Review Plans Posted Question Guide
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to review plans posted and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves review plans posted. A strong answer should include explanation, application, and examples.
Original Question
Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner). From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan. For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided? If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan? If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc. Please be sure to validate your opinions and ideas with citations and references in APA Need help for response to the peer answer below: The patient is experiencing erectile dysfunction (ED), as evidenced by his reported difficulty maintaining erections for the past year. Additionally, he states that he is getting up at night more often to urinate, which is likely caused by benign prostatic hyperplasia (BPH). However, without completing the American Urological Association Symptom Index Scale, the severity is unknown (Arcangelo & Peterson, 2021). His hypertension, hyperlipidemia, diabetes, and sedentary lifestyle put him at higher risk for ED, as well as the amlodipine he is taking (Arcangelo & Peterson, 2021). A further workup for ED includes a fasting serum glucose level, lipid panel, TSH level, morning total testosterone level, and a complete cardiac history to determine any contraindications to ED medications (Arcangelo & Peterson, 2021). If no contraindications have been found and his testosterone is within normal limits, the patient should take tadalafil 5 mg daily to address his ED and BPH, as the medication has been approved for both indications at this dose (National Health Service, n.d.). If this dose is ineffective, the tadalafil can be increased to 10 mg once daily PRN 30 minutes before sex, but should not be taken daily as the effects can last longer than 24 hours, and the dose should not exceed 20 mg in a day (NHS, n.d.). Side effects include headache, flushing, GI disturbance, nasal congestion, rash, and priapism (Arcangelo & Peterson, 2021). He should also be educated on avoiding nitrates in the event he begins experiencing chest pain, as tadalafil can potentiate the effects of the drug. Lifestyle changes are also encouraged, including adding exercise to his daily routine. He should follow up in 2 weeks to evaluate the medication’s effectiveness and adjust the dose as needed. If he continues to have issues with ED despite the medication, he could receive a referral to a urologist for alternative treatment, including a penile intracavernosal injection therapy, medical intraurethral system for erections, vacuum erection device, or placement of a penile prostheses (Arcangelo & Peterson, 2021).
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