A 32-year-old male patient who recently began taking a medication for depression reports that he has had painful erections. The most recent one lasted more than 1 hour. The PMHNP should instruct him to discontinue:
Alprazolam (Xanax)
Desvenlafaxine (Pristiq)
Trazodone (Desyrel)
Lamotrigine (Lamictal)
The Correct Answer is C
Choice A reason: Alprazolam, a benzodiazepine, is associated with sedation and anxiety reduction but is not commonly linked to priapism.
Choice B reason: Desvenlafaxine, an SNRI, may cause sexual side effects but rarely induces priapism.
Choice C reason: Trazodone is a known cause of priapism due to alpha-adrenergic blockade, and prolonged painful erections require immediate discontinuation and medical attention.
Choice D reason: Lamotrigine rarely causes priapism and is primarily used as a mood stabilizer; it is unlikely to be the culprit in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Refeeding syndrome occurs when malnourished patients are introduced to nutritional support, leading to rapid shifts in electrolytes, particularly phosphorus, potassium, and magnesium. The patient’s severe hypophosphatemia, hypokalemia, and low magnesium indicate a high risk for life-threatening complications, including cardiac arrhythmias, respiratory failure, and neurologic dysfunction.
Choice B reason: Metabolic alkalosis is characterized by elevated bicarbonate and pH, often caused by vomiting or diuretic use, not the electrolyte shifts seen here.
Choice C reason: Hypoglycemia can occur in malnourished patients but is not directly linked to the severe electrolyte disturbances seen with refeeding syndrome.
Choice D reason: Purging behaviors refer to self-induced vomiting or laxative abuse, which are behavioral issues, not immediate physiologic risks from nutritional repletion.
Correct Answer is B
Explanation
Choice A reason: Bipolar disorder is a mood disorder with a biological basis and is not directly caused by failure to develop trust in infancy.
Choice B reason: Failure to develop trust in the first year of life can lead to difficulties forming secure attachments and coping mechanisms, which may manifest later as maladaptive behaviors, including increased risk for addictions.
Choice C reason: Conversion disorder is characterized by neurological symptoms without a medical cause and is not directly linked to early trust development.
Choice D reason: Gender identity development is influenced by multiple factors and is not a direct consequence of early trust issues.
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