A nurse in a healthcare provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

A. Strict adherence to oral contraceptive use is necessary to maintain hormonal balance: This is incorrect. Oral contraceptives can help manage symptoms of PCOS by regulating menstrual cycles and reducing androgen levels, but they are not the only solution. Lifestyle modifications and weight loss can also significantly impact hormonal balance.
B. Surgical removal of ovarian cysts is the primary treatment for PCOS: This is incorrect. Surgery is not the primary treatment for PCOS. Management typically focuses on lifestyle changes and medications rather than surgical intervention.
C. PCOS cannot be managed, and no treatment options are available: This is incorrect. PCOS can be managed with a combination of lifestyle changes, medications, and, in some cases, surgical options.
D. Weight loss and lifestyle modifications can help improve PCOS symptoms: This is correct. Weight loss and lifestyle changes are fundamental in managing PCOS symptoms, as they can help improve insulin sensitivity and reduce androgen levels, which can alleviate symptoms and improve fertility.

A. Allow a drinking glass on the client's meal tray: This is incorrect. Allowing objects that could potentially be used for self-harm is unsafe. All items on the client's meal tray should be carefully reviewed to ensure they do not pose a risk.
B. Place the client in four-point restraints: This is incorrect. Restraints are used as a last resort and should only be applied following a thorough assessment of the client's needs and risks, considering less restrictive measures first.
C. Inspect the client's personal belongings: This is correct. Inspecting personal belongings is crucial to ensure that the client does not have items that could be used for self-harm. This step helps in identifying and removing potential hazards.
D. Assign the client to a private room: This is incorrect. Assigning a client to a private room might not be appropriate as it could isolate the client and reduce opportunities for observation and intervention. A safer approach is to place the client in a room where they can be closely monitored, typically a shared room with staff supervision.