A patient tells the nurse he has started experiencing erectile dysfunction since beginning treatment for hypertension. Which statement by the nurse is most appropriate?

You can start taking sildenafil (Viagra): this should fix the problem.

This is a normal side effect of the medication and you will get used to it.

I will talk to your doctor to see if adjustments can be made.

You should stop taking this medication immediately

Answer and Explanation

The Correct Answer is C

A. You can start taking sildenafil (Viagra): this should fix the problem.: This is inappropriate advice for the nurse to give. The use of medications like sildenafil should be discussed with the physician, especially considering potential interactions with hypertension medications.
B. This is a normal side effect of the medication and you will get used to it.: While erectile dysfunction can be a side effect of hypertension medications, telling the patient they will "get used to it" is dismissive and not supportive.
C. I will talk to your doctor to see if adjustments can be made.: This is appropriate as it acknowledges the patient's concern and involves the healthcare provider to explore potential medication adjustments or alternatives.
D. You should stop taking this medication immediately.: This is incorrect and potentially dangerous. Stopping hypertension medication abruptly can lead to uncontrolled blood pressure and other serious issues.

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

Explanation

A. Computed tomography: CT angiography can visualize the arteries and detect blockages or narrowing, making it useful in diagnosing peripheral arterial disease (PAD).
B. Duplex ultrasound: This test combines traditional ultrasound with Doppler to assess blood flow and the structure of blood vessels, which is useful for diagnosing PAD by identifying areas of reduced blood flow or blockages.
C. Ankle-brachial index: The ankle-brachial index (ABI) is a non-invasive test that compares the blood pressure in the ankle with the blood pressure in the arm to detect reduced blood flow in the legs, indicative of PAD.
D. Troponin T: Troponin T is a biomarker used to diagnose myocardial infarction (heart attack) and is not relevant for diagnosing PAD, which involves peripheral arteries.
E. Electrocardiogram: An electrocardiogram (ECG) measures the electrical activity of the heart and is used to diagnose cardiac issues, not peripheral artery disease.

A. Keep affected body areas covered at all times. B. Avoid stimulation that causes vasoconstriction. C. Get plenty of outdoor exercise all year. D. Take vasopressors to prevent exacerbation of symptoms.

Correct Answer is B

Explanation

A. Keep affected body areas covered at all times: While keeping warm can help prevent attacks, it is not practical or necessary to cover the areas all the time, especially in warmer environments.
B. Avoid stimulation that causes vasoconstriction: Raynaud disease is triggered by factors that cause vasoconstriction, such as exposure to cold or stress. Avoiding these triggers is key to preventing attacks.
C. Get plenty of outdoor exercise all year: Exercise is beneficial for general health but exposure to cold during outdoor activities can trigger Raynaud's attacks, especially in cold weather.
D. Take vasopressors to prevent exacerbation of symptoms: Vasopressors cause vasoconstriction and would likely worsen Raynaud's symptoms rather than preventing them.

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A patient tells the nurse he has started experiencing erectile dysfunction since beginning treatment for hypertension. Which statement by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which tests can be used to assist in diagnosing a patient with peripheral arterial disease? Select all that apply. (Select All that Apply.)

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

Explanation

The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?

Correct Answer is B

Explanation

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