A nurse is providing teaching about dietary supplements to a client who has erectile dysfunction and has been prescribed nitroglycerin. Which of the following statements is the most important for the nurse to include in the teaching?
"Dietary supplements have not been tested and approved by the government."
"Dietary supplements may be expensive and are not typically covered by insurance."
"There is not enough evidence that dietary supplements are effective for erectile dysfunction."
"Dietary supplements can cause a drug-drug interaction with nitrates."
The Correct Answer is D
A. "Dietary supplements have not been tested and approved by the government." While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.
B. "Dietary supplements may be expensive and are not typically covered by insurance." While cost considerations are important, they are not directly related to the potential interaction
between dietary supplements and nitroglycerin.
C. "There is not enough evidence that dietary supplements are effective for erectile dysfunction."
While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.
D. "Dietary supplements can cause a drug-drug interaction with nitrates." Nitroglycerin is a medication commonly used for angina, and it interacts with erectile dysfunction medications
such as sildenafil (Viagra) due to its vasodilatory effects, potentially causing severe hypotension.
Therefore, it is crucial for the nurse to educate the client about the risk of interactions between dietary supplements and nitroglycerin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Herpes simplex virus can cause genital herpes, but it typically does not lead to pelvic inflammatory disease. Pelvic inflammatory disease is more commonly associated with untreated chlamydia or gonorrhea infections.
B. Syphilis during pregnancy can lead to various complications such as stillbirth, neonatal death, or congenital syphilis in the newborn, but low birth weight is not a typical complication.
C. Human papillomavirus (HPV) infection is a known risk factor for the development of cervical cancer. Certain high-risk strains of HPV can lead to precancerous changes in cervical cells,
which, if left untreated, may progress to cervical cancer.
D. Meningitis is not a typical complication of chlamydia in males. In males, untreated chlamydia can lead to complications such as epididymitis or infertility.
Correct Answer is A
Explanation
A. This response accurately describes the pathophysiology of sickle cell crisis. During a crisis, sickled red blood cells clump together, leading to microvascular occlusion and impaired blood flow to tissues, resulting in pain.
B. Bleeding in the joints is not a characteristic feature of sickle cell crisis. It may occur in other conditions such as hemophilia or osteoarthritis but not in sickle cell crisis.
C. Disturbance in cellular metabolism is not the primary mechanism underlying the pain experienced during sickle cell crisis.
D. Bone marrow expansion with sickled cells may contribute to bone pain in sickle cell disease, but it is not the primary cause of pain during a sickle cell crisis.
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