A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil.
The nurse should identify that which of the following medications is a contraindication for receiving this medication?

Albuterol.

Indomethacin.

Nitroglycerin.

Furosemide.

Answer and Explanation

The Correct Answer is C

Using sildenafil together with nitroglycerin is not recommended.

Combining these medications may cause blood pressure to fall excessively, which can lead to cardiovascular collapse.
Choice A is wrong because Albuterol, is not a contraindication for receiving sildenafil.
Choice B is wrong because Indomethacin, is not a contraindication for receiving sildenafil.
Choice D is wrong because Furosemide, is not a contraindication for receiving sildenafil.

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Correct Answer is D

Explanation

Long-term use of prednisone can lead to a decrease in bone density and an increased risk of osteoporosis.

Consuming a diet high in calcium can help to maintain bone health and reduce the risk of osteoporosis.

Choice A is wrong because while it is important for individuals taking prednisone to receive immunizations, they should not receive live vaccines due to the immunosuppressive effects of prednisone.

Choice B is wrong because prednisone can cause hypertension, not hypotension.

Choice C is wrong because prednisone can cause hyperglycemia, not hypoglycemia.

A. The client had chemotherapy 12 hr before the medication was administered. B. The medication vial sat at room temperature for 2 hr before it was administered. C. The client's absolute neutrophil count was 2,500/mm³ before the medication was administered. D. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered.

Correct Answer is A

Explanation

Choice A rationale: Administering filgrastim after chemotherapy is a standard practice to boost white blood cell count. However, filgrastim should not be given within 24 hours before or after chemotherapy, as it can affect the efficacy and increase the risk of side effects. Administering the medication 12 hours after chemotherapy falls within this contraindicated window, necessitating an incident report.

Choice B rationale: Filgrastim can be stored at room temperature for short periods, and 2 hours is generally within acceptable limits for stability.

Choice C rationale: An absolute neutrophil count of 2,500/mm³ is within the normal range, and there is no contraindication for administering filgrastim.

Choice D rationale: Flushing the client's IV line with dextrose 5% in water before and after administering filgrastim is not appropriate, as this medication is typically administered with saline solution. Using an incorrect flushing solution could affect the medication's efficacy or compatibility, necessitating an incident report.

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A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is A

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A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil.
The nurse should identify that which of the following medications is a contraindication for receiving this medication?