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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 ["B","C","D"]

Explanation

A. Having the client douche every morning and night is not recommended as it can disrupt the natural balance of vaginal flora and exacerbate the condition. It may worsen symptoms and increase the risk of complications.

B. Instructing the client to avoid alcohol for 72 hours after treatment is not necessary in this scenario. Metronidazole is an antibiotic used to treat bacterial vaginosis and does not typically interact with alcohol.
C. Metronidazole is the treatment of choice for bacterial vaginosis, which is suggested by the client's symptoms (frothy, yellow-green, malodorous discharge) and the provider's likely diagnosis based on the clinical presentation.
D. Recommending the client's partner receive treatment is important to prevent reinfection or transmission of the infection. Bacterial vaginosis can be sexually transmitted, and treating both partners helps reduce the risk of recurrence.
E. Performing an oatmeal sitz bath may provide symptomatic relief for certain conditions, but it is not typically indicated for the treatment of bacterial vaginosis.

A. "My child will take the enzymes 2 hours before meals." B. "My child will take the enzymes to improve her metabolism." C. "My child will take the enzymes to help digest the fat in foods." D. "My child will take the enzymes following meals."

Correct Answer is C

Explanation

Rationale:

A. "My child will take the enzymes 2 hours before meals.": Pancreatic enzymes should be taken with meals or snacks, not before.

B. "My child will take the enzymes to improve her metabolism.": While pancreatic enzymes help with digestion, their purpose is not to improve metabolism.

C. "My child will take the enzymes to help digest the fat in foods.": This statement accurately reflects the purpose of pancreatic enzymes in cystic fibrosis. These enzymes are necessary because individuals with cystic fibrosis often have pancreatic insufficiency, leading to difficulty digesting fats and certain nutrients in food.

D. "My child will take the enzymes following meals.": Pancreatic enzymes should be taken with meals or snacks, not after.

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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

Correct Answer is ["B","C","D"]

Explanation

A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?

Correct Answer is C

Explanation

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