A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hr of using nitroglycerin?
Sildenafil
Metformin
Omeprazole
Atorvastatin
The Correct Answer is A
The nurse should instruct the client to avoid taking medications for erectile dysfunction, such as sildenafil, within 24 hours of taking nitroglycerin due to the risk of severe hypotension.
Reasons why the other options are not answers:
Option B: Metformin is not contraindicated with nitroglycerin.
Option C: Omeprazole is not contraindicated with nitroglycerin.
Option D: Atorvastatin is not contraindicated with nitroglycerin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Fluid overload is a potential complication of blood transfusion, and dyspnea is one of the hallmarks of fluid overload. Other signs and symptoms of fluid overload include a headache, hypertension, jugular vein distention, rapid breathing, and tachycardia.
An explanation for incorrect choices:
B. Fever is generally not associated with fluid overload but can be a sign of an adverse reaction to the blood transfusion, such as a febrile non-hemolytic transfusion reaction.
C. Pruritus is typically not associated with fluid overload but can be a sign of an adverse reaction to the blood transfusion, such as an allergic reaction.
D. Bradycardia is not typically associatedwith fluid overload but can be a sign of an adverse reaction to the blood transfusion, such as a hemolytic transfusion reaction.
Correct Answer is B
Explanation
This ABG result indicates that the client has an excess of carbon dioxide (CO2) due to hypoventilation.
A. "Metabolic acidosis" is an incorrect answer because the pH is low and the HCO3 is within normal range.
C. "Respiratory alkalosis" is an incorrect answer because the pH is low and the PaCO2 is elevated.
D. "Metabolic alkalosis" is an incorrect answer because the HCO3 is within normal range, and the pH is low.
Explanation: The ABG result shows a low pH, elevated PaCO2, and normal HCO3, indicating respiratory acidosis. This condition can be caused by conditions that affect breathing, such as pneumonia, asthma, or chronic obstructive pulmonary disease (COPD).
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