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
Prednisone
Isosorbide
The Correct Answer is D
Rationale:
A. Metronidazole: Metronidazole is an antibiotic and does not have significant interactions with sildenafil.
B. Phenytoin: Phenytoin is an anticonvulsant medication and does not have significant interactions with sildenafil.
C. Prednisone: Prednisone is a corticosteroid and does not have significant interactions with sildenafil.
D. Isosorbide: Isosorbide is a nitrate medication used to treat angin
A. Combining sildenafil with nitrate medications can lead to severe hypotension and is contraindicated. Sildenafil potentiates the vasodilatory effects of nitrates, which can result in a dangerous drop in blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. This statement is overly dismissive and does not provide the client with accurate information about herbal therapies. Herbal therapies can have benefits for some individuals, but their efficacy and safety can vary widely.
B. "Many herbal products have not undergone long-term testing for safety and efficacy." This statement provides important information to the client about the potential risks associated with herbal therapies. It emphasizes the need for caution and informed decision-making when considering their use.
C. This statement is premature and does not address the need for further assessment or consideration of potential risks and benefits before starting herbal therapies.
D. This statement is inaccurate, as herbal therapies can have side effects and interactions with medications. It does not adequately inform the client about the potential risks associated with herbal therapies.
Correct Answer is D
Explanation
Rationale:
A. "Your baby should sleep at least 6 hours between feedings.": Newborns typically wake every 2-3 hours for feeding, so sleeping for 6 hours between feedings is not indicative of adequate breastfeeding.
B. "Your baby should burp after each feeding.": Burping is important for gas relief but does not necessarily indicate sufficient breastfeeding.
C. "Your baby should have a wake cycle of 30 to 60 minutes after each feeding.": The wake cycle after feeding is not a reliable indicator of sufficient breastfeeding.
D. "Your baby should wet 6 to 8 diapers per day.": Monitoring the number of wet diapers is a
reliable indicator of adequate breastfeeding. A newborn who is getting enough breast milk should produce at least 6 to 8 wet diapers per day, indicating sufficient hydration and nutrient intake.
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