A 49-year-old man who has type 2 diabetes, high blood pressure, hyperlipidemia, and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection.

Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?

Propranolol (Inderal)

Ranitidine (Zantac)

Atorvastatin (Lipitor)

Metformin (Glucophage)

Answer and Explanation

The Correct Answer is A

Choice A rationale: Propranolol, a beta-blocker used for high blood pressure and other cardiovascular conditions, is known to have potential side effects of sexual dysfunction, including erectile dysfunction (ED).

Choice B rationale: Ranitidine (Zantac) is an H2 blocker used for acid reflux and isn't typically associated with causing ED.

Choice C rationale: Atorvastatin (Lipitor), a statin used for high cholesterol, isn't commonly associated with causing ED.

Choice D rationale: Metformin (Glucophage), used for type 2 diabetes, is not typically linked to causing ED.

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Correct Answer is B

Explanation

Choice A rationale: Used primarily for gout and familial Mediterranean fever, not for Paget's disease.

Choice B rationale: Alendronate is a bisphosphonate commonly used to manage Paget's disease by slowing down bone breakdown and reducing the risk of complications.

Choice C rationale: Prednisone is a corticosteroid used for various inflammatory conditions but not typically prescribed for Paget's disease.

Choice D rationale: Used to lower uric acid levels and prevent gout attacks, not a primary medication for Paget's disease.

A. A 60-year-old patient with diabetes who has cellulitis of the left ankle. B. A 50-year-old patient with diabetes just returned from the post-anesthesia care unit after a below-knee amputation. C. A 72-year-old patient with diabetes with diabetic ketoacidosis who is receiving IV insulin. D. A 70-year-old patient with diabetes who is showing signs of hyperglycemia.

Correct Answer is A

Explanation

Choice A rationale: Cellulitis management typically involves wound care, antibiotics, and monitoring. It's a suitable assignment for a new graduate nurse to begin learning about wound management and diabetic care.

Choice B rationale: Post-operative care for an amputation requires experience in assessing and managing post-surgical complications, which might not be suitable for a new graduate nurse.

Choice C rationale: Diabetic ketoacidosis management involves complex insulin therapy and critical care, which might be overwhelming for a new graduate nurse.

Choice D rationale: While hyperglycemia requires monitoring and intervention, the cause and severity need to be determined before assigning this patient to a new

graduate nurse.

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A 49-year-old man who has type 2 diabetes, high blood pressure, hyperlipidemia, and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client?

Correct Answer is B

Explanation

The RN is serving as preceptor to a new graduate nurse who has recently passed the RN licensure (NCLEX®) examination. The new nurse has only been on the unit for 2 days. Which patient should be assigned to the new graduate nurse?

Correct Answer is A

Explanation

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A 49-year-old man who has type 2 diabetes, high blood pressure, hyperlipidemia, and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection.

Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?