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?

Pantoprazole

Isosorbide mononitrate

Acetylsalicylic acid

Atorvastatin sodium

Answer and Explanation

The Correct Answer is B

A. Pantoprazole: This medication is a proton pump inhibitor used to treat acid-related disorders and does not interact adversely with sildenafil.
B. Isosorbide mononitrate: This is correct. Isosorbide mononitrate is a nitrate used to treat angina. Combining it with sildenafil can lead to severe hypotension due to their additive vasodilatory effects.
C. Acetylsalicylic acid: This is incorrect. Acetylsalicylic acid (aspirin) is used for pain relief and cardiovascular protection and does not contraindicate sildenafil use.
D. Atorvastatin sodium: This is incorrect. Atorvastatin is a statin used to manage cholesterol levels and does not contraindicate sildenafil use.

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Correct Answer is B

Explanation

A. Urinary output: While important, urinary output is not the immediate priority over assessing vital signs and consciousness.
B. Blood pressure: This is the priority assessment post-operatively to monitor for signs of bleeding, shock, or other complications.
C. Pain level: Pain management is important but secondary to ensuring stable hemodynamics immediately post-surgery.
D. Level of consciousness: This is also crucial, but monitoring blood pressure is a more direct indicator of immediate postoperative stability and potential complications.

A. "Expect to see a response from the medication within a week." B. "Avoid drinking grapefruit juice with this medication." C. "Decreased libido is an adverse effect of the medication." D. "Prostate-specific antigen (PSA) levels will significantly increase while taking this medication."

Correct Answer is C

Explanation

A. "Expect to see a response from the medication within a week": This is incorrect. Finasteride typically takes several months (up to 6 months) to show noticeable effects in reducing symptoms of benign prostatic hypertrophy.
B. "Avoid drinking grapefruit juice with this medication": This is incorrect. Grapefruit juice is not known to interact with finasteride. However, it is always a good practice to check for specific food and drug interactions.
C. "Decreased libido is an adverse effect of the medication": This is correct. Finasteride can cause sexual side effects, including decreased libido, erectile dysfunction, and ejaculatory disorders.
D. "Prostate-specific antigen (PSA) levels will significantly increase while taking this medication": This is incorrect. Finasteride typically lowers PSA levels, which should be considered when monitoring for prostate health.

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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?

Nursing Test Bank

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