A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?
Taking finasteride
Occasional use of nitroglycerin
Benign prostatic hypertrophy
Mild hypertension
The Correct Answer is A
A) Sildenafil and finasteride can both lower blood pressure, and concomitant use may increase the risk of hypotension.
B) Nitroglycerin use is a contraindication for sildenafil due to the risk of severe hypotension.
C) Benign prostatic hypertrophy alone may not be a contraindication for sildenafil use.
D) Mild hypertension alone may not be a contraindication for sildenafil, but it should be considered in the overall assessment of cardiovascular health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Spironolactone is a potassium-sparing diuretic, and the use of salt substitutes, which often contain potassium chloride, can lead to increased potassium levels, posing a risk of hyperkalemia.
b) Continuing medication even when feeling well is generally advised, especially for chronic conditions. Discontinuing medication without medical guidance is not recommended. c) While a healthy diet is important, this option does not specifically address the unique considerations related to spironolactone use.
d) Checking the pulse is not directly related to self-care in terms of the medication's side effects or interactions.
Correct Answer is C
Explanation
A) St. John's Wort is not typically associated with an increased risk of bleeding.
B) Coenzyme Q-10 is not known to have significant anticoagulant or antiplatelet effects.
C) Ginkgo biloba is a dietary supplement that may increase the risk of bleeding, and its use should be assessed preoperatively.
D) Ma Huang (ephedra) is associated with cardiovascular stimulation rather than anticoagulant effects.
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