Question

A 64-year-old man had a myocardial infarction (MI) 2 months ago. He has recovered to the point that he is able to climb up two flights of stairs, but he and his spouse have not resumed sexual relations. Which of the following responses by the nurse is most appropriate?
A) "Is angina interfering with your sexual functioning?"
B) "This lack of libido is caused by vasoconstriction in the genital area."
C) "You are safe to have sex; you can resume sexual relations when you desire."
D) "You may have a problem with retrograde ejaculation."

Answer 1

"You are safe to have sex; you can resume sexual relations when you desire" responses by the nurse is most appropriate.

Option C

Explanation:

A person's sexual intercourse is based on his desire. If the sexual intercourse is absent or limited, it is because he is in depression, the desire for the sexual intercourse has decreases/diminished, and he has fears or anxiety, having an issue with his partner or fatigue. There is no scientific or physiologic basis to refrain the sexual intercourse. If you have problem with "retrograde ejaculation", then it is not because of the myocardial infarction because diabetes can cause the retrograde ejaculation but MI is not  reason for it.