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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
St. John's wort is a form of alternative form of medicine used for psychiatric illnesses such as depression and other mood disorders. It increases metabolism of estrogen and progesterone reducing the effectiveness of hormonal contraceptives which can lead to unplanned pregnancies.
A, B, D have no effect of oral contraceptives.
Correct Answer is D
Explanation
Docsate takes effect in 1-3 days. It is a stool softener that works by increasing the amount of water in stool making it easier to pass across the gut. It does not take effect immediately.
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