A nurse in a 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?
Metronidazole
Phenytoin
Isosorbide
Prednisone
The Correct Answer is C
Isosorbide is a nitrate vasodilator used to dilate coronary vessels to relieve angina. Sildenafil also dilates peripheral vessels reducing peripheral vascular resistance. Using the two drugs together may lead to lethal drop in blood pressure and shock.
A, B, and D are not contraindicated with Sildenafil as they do not have any significant drug interactions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Mydriatic eye drops are used in ophthalmology to dilate the pupil for visualization of the retina and the vitreous humor. Absorption into the system an lead to systemic anticholinergic effect such a s constipation due to reduce gastrointestinal motility.
A. Bradycardia is a cholinergic effect
B and D are not typical anticholinergic effects
Correct Answer is C
Explanation
Administering the blood as ordered is the right action to take. This is because type O negative blood group is a universal donor and can be safely given to all blood groups.
Completing an incident report is not necessary. This is because type O negative blood group is safe when given to recipients of all blood groups.
Contacting the provider is unnecessary at this point. The type O negative blood group is safe and hence no need for further clarification.
Type O negative blood is a universal donor and is safe in this client. It is therefore, unnecessary to notify the blood bank.
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