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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","E"]

Explanation

A. Abundant lanugo is incorrect because postmature newborns typically lose their lanugo before birth.

B. Vernix in the folds and creases is incorrect as vernix caseosa, the white, cheese-like substance covering the skin of the fetus, is often absent in postmature newborns due to it being absorbed as the gestation period extends beyond the normal term.

C. Short, soft fingernails are not expected in postmature newborns; instead, they may have long, overgrown nails.

D. Cracked, peeling skin is a common finding in postmature newborns due to prolonged exposure to amniotic fluid and a decrease in the protective vernix caseos

E. A positive Moro reflex is a normal finding in newborns, including those who are postmature, indicating a healthy neurological response.

A. Glucose B. BUN C. Thyroid-stimulating hormone D. Liver function

Correct Answer is A

Explanation

A. Glucose

Rationale:

A. Glucose monitoring is essential for clients with polycystic ovarian syndrome (PCOS) due to the increased risk of insulin resistance and diabetes.

B. Blood urea nitrogen (BUN) levels are not typically monitored specifically for PCOS.

C. Thyroid-stimulating hormone (TSH) levels may be assessed if there is suspicion of thyroid dysfunction but are not routinely monitored for PCOS.

D. Liver function tests are not typically indicated for routine monitoring in PCOS unless there are specific signs or symptoms of liver dysfunction.

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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 preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["D","E"]

Explanation

A nurse in a provider's office is planning care for a client who has a new diagnosis of polycystic ovarian syndrome. The nurse should plan to monitor which of the followinglaboratory values?

Correct Answer is A

Explanation

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