A client receives a new prescription for sildenafil. Which instruction should the practical nurse (PN) reinforce with the client?
Do not take on an empty stomach as this can delay the desired effect.
Repeat the dose every 30 min up to 3 doses to achieve the desired effect.
Notify your healthcare provider immediately if vision or hearing loss occur.
Keep nitroglycerin tablets near in the event chest pain occurs during intercourse.
The Correct Answer is C
A. Do not take on an empty stomach as this can delay the desired effect:
Food, not empty stomach, can delay sildenafil absorption; this statement is incorrect.
B. Repeat the dose every 30 min up to 3 doses to achieve the desired effect:
Dangerous and could cause severe hypotension; sildenafil is taken once before anticipated sexual activity.
C. Notify your healthcare provider immediately if vision or hearing loss occur:
Vision or hearing changes are serious adverse effects that require immediate medical attention.
D. Keep nitroglycerin tablets near in the event chest pain occurs during intercourse:
Sildenafil and nitrates can cause life-threatening hypotension; this is unsafe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypothyroidism: Not directly caused by OSA; unrelated endocrine disorder.
B. Peptic ulcer disease: No established causal link with OSA.
C. Hypertension: Repeated hypoxia and arousals during sleep increase sympathetic activity, raising blood pressure and risk for hypertension.
D. Fibromyalgia: Not a direct complication of OSA, although poor sleep can exacerbate pain.
Correct Answer is C
Explanation
A. Most young children have poor immunity against ear infections: Immunity develops over time, but this is not the main reason for increased risk.
B. The exposure to other children with URIs is more frequent: True, but not the primary anatomical reason.
C. Eustachian tubes in young children are shorter and straighter than in the adult: This allows pathogens to travel easily from nasopharynx to middle ear.
D. The inner ear offers little protection from infection: The middle, not inner ear, is affected in otitis media.
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