A nurse is providing medication teaching about sildenafil to a client who has erectile dysfunction. Which of the following statements is the nurses highest priority?

"This medication does not prevent sexually transmitted infections."

“Take the medication before you plan to engage in sexual intercourse."

"This medication can cause a headache."

"If you have an erection for more than four hours, seek emergency treatment."

Answer and Explanation

The Correct Answer is D

A. "This medication does not prevent sexually transmitted infections.": While it is important for clients to understand that sildenafil does not provide protection against STIs, this information is educational rather than immediately safety-related. It is important but not the highest priority.

B. "Take the medication before you plan to engage in sexual intercourse.": Proper timing of sildenafil is necessary for efficacy, but incorrect timing does not pose an immediate life-threatening risk. This instruction focuses on therapeutic effectiveness rather than urgent safety.

C. "This medication can cause a headache.": Headache is a common side effect due to vasodilation, but it is generally mild and self-limiting. Although clients should be aware, it is not a priority safety concern.

D. "If you have an erection for more than four hours, seek emergency treatment.": Priapism is a rare but serious adverse effect of sildenafil that can cause permanent tissue damage and erectile dysfunction if not treated promptly. Educating the client about this risk is the highest priority because it involves immediate, potentially irreversible harm.

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Correct Answer is A

Explanation

A. Obtain information about the client's recent sexual partners: Contact tracing and partner notification are essential steps in the management of gonorrhea. Identifying and treating recent sexual partners helps prevent reinfection and limits the spread of the infection within the community.

B. Check for the presence of a primary lesion or chancre: A chancre is characteristic of primary syphilis, not gonorrhea. Gonorrhea typically presents with purulent discharge and dysuria rather than painless genital ulcers.

C. Instruct the client about preventing reinfection by using a diaphragm: Diaphragms do not provide protection against sexually transmitted infections. Barrier methods such as condoms are effective for STI prevention, whereas diaphragms are primarily a contraceptive device.

D. Remind the client that gonorrhea is a virus, therefore it cannot be cured: Gonorrhea is caused by the bacterium Neisseria gonorrhoeae, not a virus. It can be effectively treated with appropriate antibiotics, making this statement incorrect and misleading.

A. "A complication of syphilis during pregnancy is low-birth-weight infants." B. "Human papillomavirus can lead to cancer of the cervix." C. "A complication of chlamydia in males is meningitis." D. "Herpes simplex virus can lead to pelvic inflammatory disease."

Correct Answer is B

Explanation

A. "A complication of syphilis during pregnancy is low-birth-weight infants.": Syphilis during pregnancy is more strongly associated with serious outcomes such as stillbirth, neonatal death, congenital syphilis, and prematurity. While low birth weight can occur, it is not the most defining or commonly emphasized complication compared with these severe outcomes.

B. "Human papillomavirus can lead to cancer of the cervix.": Persistent infection with high-risk strains of HPV, particularly types 16 and 18, is a well-established cause of cervical cancer. HPV integrates into cervical epithelial cells, causing dysplasia that can progress to malignancy if not detected and treated early.

C. "A complication of chlamydia in males is meningitis.": Chlamydia primarily affects the genitourinary tract and can lead to complications such as epididymitis, prostatitis, and infertility in males. Meningitis is not a complication of chlamydial infection.

D. "Herpes simplex virus can lead to pelvic inflammatory disease.": Pelvic inflammatory disease is most commonly caused by ascending bacterial infections such as chlamydia and gonorrhea. Herpes simplex virus causes localized ulcerative lesions and does not typically result in PID.

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A nurse is providing medication teaching about sildenafil to a client who has erectile dysfunction. Which of the following statements is the nurses highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a female client who has gonorrhea. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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