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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 B

Explanation

A) Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.

B) Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.

C) Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.

D) Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.

A. 30 to 60 minutes before breakfast B. At bedtime C. When they feel fatigued D. With an antacid

Correct Answer is B

Explanation

a) Levothyroxine is usually recommended to be taken 30 to 60 minutes before breakfast to enhance absorption, but this is not the answer indicated by the client's statement.

b) Taking levothyroxine at bedtime is another acceptable option and may be more convenient for some individuals. Both options (morning or bedtime) are valid.

c) Taking levothyroxine when feeling fatigued is not a specific guideline for medication administration.

d) Taking levothyroxine with an antacid may interfere with absorption and is not recommended.

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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

A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

Correct Answer is B

Explanation

The nurse reinforces instructions regarding when to take levothyroxine and determines teaching was effective when the client states the medication should be taken in which manner?

Correct Answer is B

Explanation

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