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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?

Metronidazole

Phenytoin

Prednisone

Isosorbide

Answer and Explanation

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.

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Correct Answer is D

Explanation

Rationale:

A. Preterm delivery: While preterm delivery can result in low birth weight, it is not typically considered a direct cause of being small for gestational age (SGA). SGA infants are generally small because of intrauterine growth restriction rather than preterm birth.

B. Fetal hyperinsulinemia: Fetal hyperinsulinemia may lead to macrosomia (large for gestational age) rather than SG

C. Perinatal asphyxia: Perinatal asphyxia refers to oxygen deprivation around the time of birth and is not typically associated with SG

D. Placental insufficiency: Placental insufficiency, resulting in poor nutrient and oxygen transfer to the fetus, is a common cause of SG

A. Insufficient placental function can limit fetal growth,

leading to a newborn being small for their gestational age.

A. A history of pelvic inflammatory disease (PID). B. Abdominal bloating starting several days before menses. C. Dysmenorrhea that is unresponsive to NSAIDs. D. An atypical Papanicolaou smear at her last clinic visit.

Correct Answer is C

Explanation

Rationale:

A. While pelvic inflammatory disease (PID) can be associated with endometriosis, it is not a definitive indicator.

B. Abdominal bloating can occur in various conditions, but it is not specific to endometriosis.

C. Dysmenorrhea that is unresponsive to NSAIDs is a hallmark symptom of endometriosis. It often presents as severe menstrual cramps that are not relieved by over-the-counter pain

medications.

D. An atypical Papanicolaou smear does not directly relate to endometriosis; it may indicate other gynecological issues but is not specific to endometriosis.

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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 the mother of a newborn born small for gestational age.Which of the following should the nurse include as a possible cause of this condition?

Correct Answer is D

Explanation

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis.Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Correct Answer is C

Explanation

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