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?

Rationale:

A. Headache can be a common side effect of magnesium sulfate but is usually not concerning unless severe or persistent.

B. A fetal heart rate of 158/min is within the normal range for a fetus and is not typically associated with magnesium sulfate administration.

C. Respirations of 16/min are within the normal range and are not typically associated with magnesium sulfate administration.

D. A urinary output of 40 mL in 2 hours is significantly reduced and may indicate magnesium toxicity or impaired renal function, which should be reported to the provider for further

evaluation and management.

A. This choice is partially correct because it addresses the parent's concern by offering to

involve the supervisor. However, it does not provide the parent with the specific reason why the incident was reported.
B. This response defers the explanation to another time and person, which may increase the parent's frustration or anxiety.
C. This choice explains the action taken but does not clarify the nurse's legal obligation to report the incident, which is the central issue.
D. This is the most appropriate response as it clearly communicates the nurse's legal responsibility to report any suspected cases of child abuse, providing transparency and understanding of the actions taken.