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. 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.

Rationale:

A. Weak pulses are not typically associated with a large patent ductus arteriosus. Instead, bounding pulses may be observed due to increased blood flow to the lower extremities.

B. Chronic hypoxemia may occur in some cases of patent ductus arteriosus, but it is not a specific manifestation typically associated with this condition.

C. Systolic murmur is a common finding in newborns with a large patent ductus arteriosus. This murmur is often continuous with the second heart sound and may be heard best at the left upper sternal border.

D. Cyanosis with crying is not typically associated with patent ductus arteriosus. Cyanosis may occur in other cardiac defects but is not a specific finding for patent ductus arteriosus.