A male client is concerned with the inability to have an erection and asks for medication to help with this problem. Which information in the client's medication record would contraindicate the client from being prescribed medication for this condition?

nitroglycerin pm for angina

furosemide 10 mg by mouth daily

verapamil 80 mg by mouth three times a day

acetaminophen 650 mg by mouth prn arthritic pain

Answer and Explanation

The Correct Answer is A

A. Nitroglycerin is contraindicated with erectile dysfunction medications such as sildenafil (Viagra) because both can cause significant drops in blood pressure when used together, potentially leading to severe cardiovascular complications.

B. Furosemide is a diuretic and does not have a direct contraindication with erectile dysfunction medications, although it may contribute to electrolyte imbalances.

C. Verapamil is a calcium channel blocker that does not directly contraindicate the use of erectile dysfunction medications but should be monitored for potential interactions affecting heart rate and blood pressure.

D. Acetaminophen is a pain reliever and does not pose a contraindication for erectile dysfunction medications.

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Correct Answer is D

Explanation

A. Taking smaller doses of decongestants several times a day may be appropriate for some medications but does not address the risk of rebound congestion associated with prolonged use.

B. Expecting relief within a few days may not be realistic if the cold symptoms persist for 2 weeks, indicating a potential need for further evaluation.

C. OTC decongestants can be effective, and many patients find relief from symptoms without requiring a prescription.

D. Using decongestants for an extended period can lead to rebound congestion, where nasal passages become more congested once the medication is stopped, making this a crucial point for the nurse to communicate.

A. Try not to swallow while the pill dissolves. B. Take a big drink of water and swallow the pill. C. Swallow frequently to get the best benefit. D. Chew the pill so it will dissolve faster.

Correct Answer is A

Explanation

A. Try not to swallow while the pill dissolves is correct because sublingual medications are designed to be absorbed directly into the bloodstream through the mucous membranes under the tongue, and swallowing may hinder this absorption.

B. Take a big drink of water and swallow the pill is incorrect because sublingual medications should not be swallowed with water as they need to dissolve under the tongue.

C. Swallow frequently to get the best benefit is incorrect, as this can interfere with the absorption of the medication.

D. Chew the pill so it will dissolve faster is incorrect since chewing may destroy the sublingual formulation, preventing it from working as intended.

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A male client is concerned with the inability to have an erection and asks for medication to help with this problem. Which information in the client's medication record would contraindicate the client from being prescribed medication for this condition?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is preparing to administer a sublingual medication. Which instruction to the client is correct?

Correct Answer is A

Explanation

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