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?

Rationale:

A. Take at different times of the day: Consistency in timing is typically recommended for hormone therapy to maintain stable hormone levels.

B. Take an extra dose if missed a day: It's not advisable to take extra doses of hormone therapy if a dose is missed without consulting a healthcare provider.

C. Prevents osteoporotic fractures: Menopausal hormone therapy, particularly estrogen therapy, can help prevent osteoporotic fractures by maintaining bone density.

D. Prevents from having a cerebral hemorrhage: While hormone therapy may have cardiovascular benefits, including a reduced risk of stroke, it is not primarily indicated for preventing cerebral hemorrhage.

Rationale:

A. Increasing the rate of infusion of IV oxytocin could exacerbate the uterine hyperstimulation and fetal decelerations, potentially leading to fetal distress. It is not appropriate in this situation.

B. Slowing the client's rate of breathing would not address the issue of fetal decelerations caused by uterine hyperstimulation. This action is not relevant to the situation described.

C. Discontinuing the infusion of the IV oxytocin is the correct action in this scenario. The presence of uniform decelerations beginning at the peak of contractions suggests uterine hyperstimulation, likely caused by oxytocin. Discontinuing the oxytocin infusion allows the uterus to rest, reducing the risk of further fetal distress.

D. Decreasing the rate of infusion of the maintenance IV solution is not the priority in this

situation. The issue is uterine hyperstimulation caused by oxytocin, so discontinuing the oxytocin infusion is the appropriate action to take.