A client arrives at the emergency department with chest pain after taking sildenafil.
Based on the client's history, which medication should the nurse withhold?
Aspirin.
Heparin.
Morphine.
Nitroglycerin.
The Correct Answer is D
Choice A rationale:
Aspirin is not typically contraindicated in a client who has taken sildenafil unless there are specific contraindications or allergies. Aspirin is often used in the management of acute chest pain to help prevent blood clot formation.
Choice B rationale:
Heparin is not contraindicated solely because the client has taken sildenafil. Heparin is an anticoagulant commonly used in various clinical settings, including the management of certain cardiac conditions.
Choice C rationale:
Morphine is not necessarily contraindicated based solely on the client's use of sildenafil. Morphine can be used to relieve chest pain in some cases of acute coronary syndrome. However, its use should be carefully evaluated based on the client's overall clinical presentation.
Choice D rationale:
Nitroglycerin should be withheld in this scenario. Sildenafil is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. It can potentiate the vasodilatory effects of nitroglycerin, leading to a severe drop in blood pressure. Concomitant use of nitroglycerin and sildenafil is contraindicated due to the risk of significant hypotension, which can be life-threatening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Step 1 is to convert the child’s weight from pounds to kilograms since the dosage is prescribed in mg/kg. We know that 1 kg is approximately 2.2 lbs. So, the child’s weight in kg is 55 lbs ÷ 2.2 = 25 kg (rounded to the nearest whole number for simplicity).
Step 2 is to calculate the total daily dosage. The prescription is for 150 mg/kg/day. So, the total daily dosage is 150 mg/kg/day × 25 kg = 3750 mg/day.
So, the correct answer is, after analysing all choices, the nurse should administer 3750 mg of cefotaxime each day.
Correct Answer is C
Explanation
Choice A rationale: While monitoring temperature is important for a client with meningitis to track the resolution of infection, it is not a prerequisite for administering penicillin. It does not prevent life-threatening complications.
Choice B rationale: Assessing the level of consciousness is a critical part of the neurological assessment for meningitis. However, it is not the specific priority action required before administering a first dose of an antibiotic.
Choice C rationale: Penicillin carries a high risk of anaphylaxis. The nurse must verify the client's allergy history to ensure safety, as a previous reaction to penicillin or cephalosporins could lead to a fatal allergic response.
Choice D rationale: While cultures must be obtained before starting antibiotics, this question specifies the provider has already ordered the medication for an identified organism (Streptococcus pneumoniae), implying the diagnostic cultures have already been completed.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
