A nurse is providing teaching about dietary supplements to a client who has erectile dysfunction and has been prescribed nitroglycerin. Which of the following statements is the most important for the nurse to include in the teaching?

"Dietary supplements have not been tested and approved by the government."

"Dietary supplements may be expensive and are not typically covered by insurance."

"There is not enough evidence that dietary supplements are effective for erectile dysfunction."

"Dietary supplements can cause a drug-drug interaction with nitrates."

Answer and Explanation

The Correct Answer is D

A. "Dietary supplements have not been tested and approved by the government." While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.

B.   "Dietary supplements may be expensive and are not typically covered by insurance." While cost considerations are important, they are not directly related to the potential interaction
between dietary supplements and nitroglycerin.
C.   "There is not enough evidence that dietary supplements are effective for erectile dysfunction."
While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.
D.   "Dietary supplements can cause a drug-drug interaction with nitrates." Nitroglycerin is a medication commonly used for angina, and it interacts with erectile dysfunction medications
such as sildenafil (Viagra) due to its vasodilatory effects, potentially causing severe hypotension.
Therefore, it is crucial for the nurse to educate the client about the risk of interactions between dietary supplements and nitroglycerin.

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Correct Answer is C

Explanation

A. Vitamin C is not known to cause bone marrow suppression. In fact, it is essential for the proper function of the immune system and the production of collagen.
B. Physical exercise does not cause bone marrow suppression. Regular exercise can have positive effects on bone health and overall well-being.
C. Chemotherapy, which is used to treat cancer, can cause bone marrow suppression as a side effect. It affects rapidly dividing cells, including those in the bone marrow responsible for producing blood cells.
D. Some antibiotics, such as certain types of penicillins and sulfonamides, can rarely cause bone marrow suppression as a side effect. However, this is not a common effect of all antibiotics.

A. Radiation exposure B. An autoimmune disorder C. Chemotherapy drugs D. Toxins

Correct Answer is B

Explanation

A. Radiation exposure: Radiation exposure can cause aplastic anemia, but if the cause is unknown, it is less likely to be due to a specific and identifiable event like radiation exposure.
B. An autoimmune disorder: When the cause of aplastic anemia cannot be diagnosed, it is often attributed to an autoimmune disorder where the body attacks its own bone marrow cells.
C. Chemotherapy drugs: Chemotherapy drugs can cause aplastic anemia, but this cause would typically be known based on the patient's medical history.
D. Toxins: Toxins can cause aplastic anemia, but like chemotherapy drugs and radiation, this cause would generally be identifiable.

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A nurse is providing teaching about dietary supplements to a client who has erectile dysfunction and has been prescribed nitroglycerin. Which of the following statements is the most important for the nurse to include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following can cause bone marrow suppression?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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