A male client tells the nurse that he obtained sildenafil without a prescription over the internet, and asks the nurse if it is safe to take. In addition to advising the client to obtain medical evaluation, it is important that the nurse immediately determines if he takes which other type of medication?

Statins, such as atorvastatin.

Analgesics, such as acetaminophen.

Anticoagulants, such as warfarin.

Nitrates, such as nitroglycerin.

Answer and Explanation

The Correct Answer is D

A. Statins, such as atorvastatin: Statins primarily lower cholesterol and have no significant interaction with sildenafil that would cause an urgent safety concern. Although monitoring for muscle-related side effects is important with statins, it is not the priority here.

B. Analgesics, such as acetaminophen: Acetaminophen is generally safe and does not interact dangerously with sildenafil. There is no immediate concern related to combining these two medications.

C. Anticoagulants, such as warfarin: There is a potential for increased bleeding risk when sildenafil is combined with anticoagulants, but this is generally not an acute, life-threatening interaction requiring immediate determination before other more critical concerns.

D. Nitrates, such as nitroglycerin: Taking sildenafil with nitrates can cause profound, life-threatening hypotension. Both sildenafil and nitrates can cause vasodilation, and their combined use can lead to a dangerous and potentially fatal drop in blood pressure. This combination is absolutely contraindicated, and the nurse must immediately assess whether the client uses any nitrate medication to prevent a serious adverse event.

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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

A. May stop taking medication if no symptoms of GI discomfort: Pantoprazole is prescribed prophylactically in burn clients to prevent stress ulcers, not just to treat existing symptoms. Stopping it without medical advice could increase the risk of serious complications like gastric bleeding.

B. Explain that pantoprazole may be taken with or without food: Pantoprazole, a proton pump inhibitor (PPI), can be taken without regard to meals. Educating the client on flexible timing improves adherence and reduces confusion about the medication regimen.

C. Teach the client about risk of developing a Curling's ulcer: Severe burns increase the risk of Curling’s ulcer, a stress-related gastric ulcer. Explaining this risk helps the client understand the preventative role of pantoprazole in their overall care plan.

D. Discuss the risk of gastric bleeding related to severe burns: Gastric bleeding is a serious, potentially life-threatening complication associated with stress ulcers in burn patients. Teaching the client about this risk provides a clear rationale for continuing pantoprazole therapy.

E. Tell how pantoprazole effectively heals ulcers: While pantoprazole can treat ulcers, in this case it is prescribed to prevent ulcer formation rather than to heal an existing ulcer. The teaching should focus on prevention, not healing.

A. When using the discus, have the client breathe out rapidly into the mouthpiece. B. Offer the discus to the client for use during an acute asthma attack. C. Explain that the client should not use the discus more than twice daily. D. Clients using the discus may experience decreased blood pressure.

Correct Answer is C

Explanation

A. When using the discus, have the client breathe out rapidly into the mouthpiece: Clients should exhale away from the mouthpiece before inhaling the medication. Breathing out into the mouthpiece can blow away the powdered medication, making the dose ineffective.

B. Offer the discus to the client for use during an acute asthma attack: Fluticasone and salmeterol are used for long-term control of asthma, not for immediate relief during an acute attack. A short-acting bronchodilator like albuterol is needed for acute symptom management.

C. Explain that the client should not use the discus more than twice daily: The fluticasone/salmeterol combination is typically prescribed for use twice daily. Exceeding the recommended frequency increases the risk of side effects such as throat irritation, infections, and cardiovascular effects.

D. Clients using the discus may experience decreased blood pressure: While beta-agonists can sometimes have cardiovascular effects, salmeterol is a long-acting beta-agonist primarily targeting the airways. Decreased blood pressure is not a common or expected side effect of fluticasone/salmeterol inhalers. Increased heart rate or palpitations are more potential cardiovascular effects, but significant hypotension is unlikely.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The healthcare provider (HCP) prescribes pantoprazole for a client who experienced partial and full thickness burns. The client is questioning the nurse if this medication is necessary. Which action(s) should the nurse implement? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?

Correct Answer is C

Explanation

A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client?

The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?

A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?

A client recently diagnosed with Parkinson's disease receives a new prescription for carbidopa-levodopa. To reduce the client's risk for injury, which instruction should the nurse provide?

A client with type 2 diabetes mellitus who takes glimepiride PO daily calls the nurse to report a recent onset of nausea, vomiting, and diarrhea. Which response should the nurse provide?

Patient Data Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse should expect for the insulin glargine to start working in dropdown. and to continue working for dropdown.

Patient Data Exhibits The nurse prepares to give 2 units of insulin lispro. Which should the nurse double check with a second nurse? Select all that apply.

An adolescent receives a new prescription for isotretinoin for cystic acne. Which information is most important for the nurse to provide?