A nurse in a 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?

Metronidazole

Phenytoin

Isosorbide

Prednisone

Answer and Explanation

The Correct Answer is C

Isosorbide is a nitrate vasodilator used to dilate coronary vessels to relieve angina. Sildenafil also dilates peripheral vessels reducing peripheral vascular resistance. Using the two drugs together may lead to lethal drop in blood pressure and shock.
A, B, and D are not contraindicated with Sildenafil as they do not have any significant drug interactions

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Correct Answer is B

Explanation

B. Taking sucralfate before meals allows it to form a protective coating on the ulcer, which can help to reduce irritation and promote healing.

A. Storing sucralfate in the refrigerator is unnecessary. Sucralfate tablets should be stored at room temperature away from moisture and heat.

C. It can be dissolved or broken

D. Antacids can interfere with the effectiveness of sucralfate by altering its pH-dependent mechanism of action. Therefore, they should be taken at least 30 minutes before or after sucralfate.

A. “The medication works by decreasing gastric acid secretions” B. "The medication relieves nausea by promoting gastric emptying." C. "The medication relieves nausea slowing peristalsis. D. "The medication works by relaxing gastric muscles”

Correct Answer is B

Explanation

Metoclopramide is a prokinetic agent that increases the motility of the upper gastrointestinal tract. Metoclopramide helps accelerate gastric emptying and promotes movement of food through the digestive system. This action can alleviate symptoms of nausea and vomiting by reducing the likelihood of food staying in the stomach for an extended period, which can contribute to feelings of discomfort.

A. Metoclopramide does not increase or decrease gastric acid secretions.

C. Metoclopramide accelerates peristalsis or the movement of food through the gastrointestinal tract.

D. Metoclopramide increases muscle tone and GI motility

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A nurse in a 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 providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

Correct Answer is B

Explanation

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide Will relieve her nausea. Which of the following explanations should the nurse provide?

Correct Answer is B

Explanation

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A nurse in a 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?

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