A nurse in a healthcare provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?
Pantoprazole
Isosorbide mononitrate
Acetylsalicylic acid
Atorvastatin sodium
The Correct Answer is B
A. Pantoprazole: This medication is a proton pump inhibitor used to treat acid-related disorders and does not interact adversely with sildenafil.
B. Isosorbide mononitrate: This is correct. Isosorbide mononitrate is a nitrate used to treat angina. Combining it with sildenafil can lead to severe hypotension due to their additive vasodilatory effects.
C. Acetylsalicylic acid: This is incorrect. Acetylsalicylic acid (aspirin) is used for pain relief and cardiovascular protection and does not contraindicate sildenafil use.
D. Atorvastatin sodium: This is incorrect. Atorvastatin is a statin used to manage cholesterol levels and does not contraindicate sildenafil use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. My platelet count will be drawn monthly: This is incorrect. Monitoring platelet count is not specifically related to polycystic ovarian syndrome (PCOS). PCOS management focuses more on hormonal levels and metabolic health.
B. I will be checking my blood glucose levels frequently: This is correct. Clients with PCOS are at increased risk for insulin resistance and diabetes, so monitoring blood glucose levels is an important aspect of managing PCOS.
C. My kidney function should be closely monitored: This is incorrect. While kidney function is important in overall health, it is not specifically monitored in PCOS unless there are other underlying issues.
D. My thyroid-stimulating hormone levels will increase: This is incorrect. Thyroid-stimulating hormone levels are not directly affected by PCOS, though thyroid function should be evaluated if there are symptoms suggesting thyroid dysfunction.
Correct Answer is C
Explanation
A. Increased vaginal drainage typically occurs 5 days following surgery: This is incorrect. Vaginal drainage usually decreases over time after surgery, and increased drainage might suggest a complication.
B. Sexual intercourse may be resumed in 1 to 2 weeks: This is incorrect. Sexual activity is generally advised against for 6 weeks or until the healthcare provider confirms it is safe to resume.
C. Artificial lubrication can be used to treat vaginal itching and dryness: This is correct. After a hysterectomy and oophorectomy, vaginal dryness is common due to decreased estrogen levels. Artificial lubrication can help alleviate these symptoms.
D. A Papanicolaou (Pap) test should be performed every 6 months: This is incorrect. After a total abdominal hysterectomy for cancer, Pap tests are generally not required unless there was a history of cervical cancer or other specific indications.
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