An older couple expresses concern because they are easily fatigued during sexual intercourse and cannot reach climax. Which strategies to increase sexual stamina will the nurse offer? (Select all that apply.)

A) Plan sexual activity around a time when the couple feels rested.
B) Encourage intimate touching, such as hugging and kissing.
C) Use extra lubrication to decrease discomfort.
D) Take pain medication before intercourse.
E) Avoid alcohol and tobacco.
F) Eat well-balanced meals.

Alcohol, tobacco, and certain medications (such as narcotics for pain) may cause drowsiness and fatigue and negatively affect sexual stamina. Eating well-balanced meals can help to increase energy levels. Planning sexual activity when the couple is well rested will help them not get fatigued as quickly. Encouraging intimate touching may help increase libido but not energy levels. Extra lubrication and taking pain medications may ease the discomfort of sexual intercourse but are not appropriate interventions for fatigue.