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A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?

Taking finasteride

Occasional use of nitroglycerin

Benign prostatic hypertrophy

Mild hypertension

Answer and Explanation

The Correct Answer is A

A) Sildenafil and finasteride can both lower blood pressure, and concomitant use may increase the risk of hypotension.

B) Nitroglycerin use is a contraindication for sildenafil due to the risk of severe hypotension.

C) Benign prostatic hypertrophy alone may not be a contraindication for sildenafil use.

D) Mild hypertension alone may not be a contraindication for sildenafil, but it should be considered in the overall assessment of cardiovascular health.

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Correct Answer is C

Explanation

A) Teaching the client to treat symptoms is not sufficient; proactive monitoring is essential.

B) Continuing the drug despite signs of toxicity is not safe and may worsen the client's condition.

C) Regular monitoring of organ function is crucial to detect early signs of toxicity and prevent serious complications.

D) Discontinuing the drug without signs of toxicity may not be necessary, and the decision should be based on ongoing assessment and consultation with the healthcare provider.

A. "I will need to check my blood sugar once daily or more." B. "I should not take this medication if I have a sulfa allergy." C. "I will begin by taking this once daily with breakfast." D. "I may continue to have a glass of wine with dinner."

Correct Answer is B

Explanation

a) Checking blood sugar once daily or more is a proactive and accurate self-management practice for individuals with diabetes.

b) Glipizide does not contain sulfa, so having a sulfa allergy is not a contraindication for taking this medication. The client needs clarification on this point.

c) Taking glipizide once daily with breakfast is a reasonable dosing schedule.

d) Having a glass of wine with dinner may be acceptable, but moderation and monitoring for interactions are advisable.

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A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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