A male client reports to the nurse that he took sildenafil for erectile dysfunction but did not achieve an erection. Which of the following considerations should the nurse evaluate to determine possible reasons for the lack of response?

The client's level of sexual stimulation

If taken with a high fat meal, the medication is more effective

The client's recent consumption of caffeine

If client took an additional dose to achieve an erection

Answer and Explanation

The Correct Answer is A

A. The client's level of sexual stimulation
Sildenafil requires sexual stimulation to be effective. It enhances blood flow to the penis but does not automatically cause an erection. The client should be educated that adequate sexual arousal is necessary for the medication to work.

B. If taken with a high-fat meal, the medication is more effective
Taking sildenafil with a high-fat meal can actually delay its absorption and reduce effectiveness. Clients should be advised to take it on an empty stomach or with a light meal for optimal results.

C. The client's recent consumption of caffeine
Caffeine intake does not interfere with sildenafil’s effectiveness. However, excessive caffeine consumption may contribute to vasoconstriction, which could indirectly affect erectile function.

D. If client took an additional dose to achieve an erection
Taking an extra dose of sildenafil is not recommended and can increase the risk of serious side effects such as hypotension, priapism (prolonged erection), and cardiovascular complications. The client should follow prescribed dosing guidelines.

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Correct Answer is C

Explanation

A. "It halts cervical dilation."
This is incorrect because betamethasone does not stop cervical dilation or preterm labor. Medications like tocolytics (e.g., nifedipine, magnesium sulfate, terbutaline) are used to delay labor, while betamethasone is given to enhance fetal lung maturity.

B. "It increases the fetal heart rate."
This is incorrect because betamethasone does not directly increase fetal heart rate. While corticosteroids may cause temporary fetal tachycardia, their primary role is enhancing fetal lung development.

C. "It promotes fetal lung maturity."
This is correct because betamethasone is a corticosteroid given to promote the production of surfactant in the fetal lungs, reducing the risk of respiratory distress syndrome (RDS) in preterm infants. It is typically administered between 24 and 34 weeks of gestation in cases of anticipated preterm birth.

D. "It is used to stop preterm labor contractions."
This is incorrect because betamethasone does not stop contractions. Tocolytics like nifedipine, magnesium sulfate, and terbutaline are used for that purpose, whereas betamethasone is specifically for fetal lung development.

A. Observe an area of redness on the breast of a client who is 1 day postpartum. B. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum. C. Monitor vital signs during admission of a client who has gestational hypertension. D. Change the initial perineal pad of a client who just transferred from labor and delivery.

Correct Answer is B

Explanation

A. Observe an area of redness on the breast of a client who is 1 day postpartum.
Assessment is outside the scope of practice for an AP. The nurse must assess the redness, as it could indicate mastitis or engorgement requiring further evaluation.

B. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum.
Assisting with hygiene and comfort measures, such as a sitz bath, is within the AP’s scope of practice. The nurse should ensure that the client understands proper perineal care and has no contraindications.

C. Monitor vital signs during admission of a client who has gestational hypertension.
Clients with gestational hypertension require close monitoring, and initial admission assessments, including vital signs, must be performed by the nurse to identify signs of preeclampsia or worsening hypertension.

D. Change the initial perineal pad of a client who just transferred from labor and delivery.
The first perineal pad change is an assessment opportunity for the nurse, allowing them to evaluate bleeding amount, presence of clots, and signs of postpartum hemorrhage. The nurse should perform the initial assessment and pad change before delegating routine hygiene tasks to the AP.

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A male client reports to the nurse that he took sildenafil for erectile dysfunction but did not achieve an erection. Which of the following considerations should the nurse evaluate to determine possible reasons for the lack of response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?

Correct Answer is C

Explanation

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Correct Answer is B

Explanation

A 56-year-old menopausal woman reports to the registered nurse that she has been experiencing vaginal itching, burning, and an increase in vaginal infections over the past 3 years. What important factor should the nurse consider before responding to the client's concerns?

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?

A nurse is caring for a postpartum client who reports feeling anxious, irritable, and unable to sleep despite extreme fatigue. The client also expresses feelings of inadequacy as a mother. Which of the following nursing interventions is the most appropriate?

G1P1, 37 weeks' gestation patient with a scheduled nonstress test (NST) Complete the following sentence using the drop-down options. The nurse's greatest concern is the client's risk of developing __i_____ and related to __ii____ and ___iii____.

Which of the following gravid clients is most appropriate for a charge nurse to assign to a new nurse with no obstetric (OB) experience?

A nurse is reviewing the different signs of pregnancy with a client who is in her first trimester. Which of the following symptoms should the nurse classify as a positive sign of pregnancy?

35-year-old postpartum client. Select the condition, risk factors and assessment findings that the client may be experiencing.

A nurse is caring for a client at the first prenatal visit who has a BMI of 23.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?