What adverse reaction does the nurse anticipate if a client takes nitroglycerin with sildenafil?

Hypotension

Bradycardia

Chest pain

Nausea

Answer and Explanation

The Correct Answer is A

A. The combination of nitroglycerin and sildenafil can lead to severe hypotension due to the vasodilatory effects of both medications. This is the most critical adverse reaction the nurse should anticipate.

B. Bradycardia is not a direct effect of this combination; rather, hypotension is a more significant concern.

C. Chest pain may occur if hypotension leads to inadequate perfusion, but it is not a direct adverse effect of the drug interaction.

D. Nausea can occur with various medications, but it is not specifically linked to the interaction between nitroglycerin and sildenafil.

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Correct Answer is A

Explanation

A. Spironolactone is a potassium-sparing diuretic, meaning it helps retain potassium while promoting sodium and water excretion. This makes it advantageous for clients who may be at risk for hypokalemia with furosemide, which can lead to significant potassium loss.

B. This statement is incorrect; spironolactone causes less potassium loss compared to furosemide, making it a better option for those needing to maintain potassium levels.

C. This statement is misleading; spironolactone does promote diuresis but does not cause greater water losses than furosemide.

D. This is incorrect; while spironolactone does promote sodium excretion, it does not do so to a greater extent than furosemide, which is a more potent diuretic.

A. The client reports excessive thirst. B. The client's heart rate is 99 beats/min. C. The client's oral temperature is 100°F (37.8°C). D. The client had diarrhea this morning.

Correct Answer is B

Explanation

A. Excessive thirst is not a common adverse effect associated with albuterol.

B. Albuterol, a beta-agonist, can cause tachycardia as an adverse effect; a heart rate of 99 beats/min may indicate this response.

C. An oral temperature of 100°F may suggest a mild infection or other issues, but it is not a specific adverse effect of albuterol.

D. Diarrhea is not typically associated with albuterol use and is less likely to be attributed to the medication.

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What adverse reaction does the nurse anticipate if a client takes nitroglycerin with sildenafil?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks, "Why is my prescription being switched from furosemide to spironolactone?" What is the nurse's best response?

Correct Answer is A

Explanation

The nurse is caring for a 38-year-old client who has been diagnosed with asthma and is prescribed albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects?

Correct Answer is B

Explanation

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