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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "I can detect the presence of carbon monoxide by a metallic odor." This is incorrect. Carbon monoxide is odorless, colorless, and tasteless, making it undetectable by smell.
B. "A high concentration of carbon monoxide can cause unconsciousness." This is correct. High levels of carbon monoxide can lead to serious symptoms including loss of consciousness.
C. "Breathing in carbon monoxide can cause headaches and nausea." This is correct. Symptoms of carbon monoxide poisoning include headaches, nausea, and dizziness.
D. "Leaky gas or oil furnaces can cause carbon monoxide poisoning." This is correct. Faulty or leaky heating systems can be a source of carbon monoxide exposure.

A. Extreme abdominal pain with intercourse B. Postmenopausal bleeding C. Decreased white blood cell count D. Bilateral swelling on the posterior of the vulva

Correct Answer is B

Explanation

A. Extreme abdominal pain with intercourse: This is less specific for endometrial cancer and more indicative of conditions such as pelvic inflammatory disease or endometriosis.
B. Postmenopausal bleeding: This is correct. Postmenopausal bleeding is a common symptom of endometrial cancer and warrants further evaluation.
C. Decreased white blood cell count: This is incorrect. Endometrial cancer does not typically present with a decreased white blood cell count; it may present with normal or elevated levels depending on the stage and presence of infection.
D. Bilateral swelling on the posterior of the vulva: This is incorrect. Swelling of the vulva is not characteristic of endometrial cancer but may be associated with other gynecological issues.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client requires further education?

Correct Answer is A

Explanation

A nurse is caring for a client who has just received the diagnosis of endometrial cancer. During the nursing assessment, which of the following manifestations is likely to be reported by this client?

Correct Answer is B

Explanation

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