A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

Sildenafil

Gemfibrozil

Lansoprazole

Diazepam

Answer and Explanation

The Correct Answer is A

Both sildenafil and nitroglycerin are vasodilators and can lead to severe hypotension when used together. Sildenafil acts by inhibiting phosphodiesterase 5 (PDE 5), an enzyme that breaks down cGMP, which regulates blood flow in the penis. The medication also results in the dilation of blood vessels in the lungs, which is beneficial for treating pulmonary arterial hypertension.
B, C, D- No interactions with nitroglycerin

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Correct Answer is B

Explanation

Reduced respiratory rate and absence of deep tendon reflexes are an indicator of magnesium sulfate toxicity. Calcium competitively binds on the magnesium sulphate receptors to lower the toxicity effect

A- Methylergonovine is a uterotonic C-Naloxone is used for opioids toxicity D-Dexamethasone is not an antidote

A. Obtain the client's weight three times a week. B. Check the client's WBC count daily. C. Keep the solution refrigerated until 1 hr before infusion. D. Change the solution every 36 hr.

Correct Answer is C

Explanation

allow them to reach room temperature, which reduces the risk of discomfort or complications from infusing a cold solution.

A-Weight measures are not necessary to evaluate the effectiveness of the TPN

B-Daily WBCs are not necessary unless infection is suspected C-Refrigeration of TPN is not necessary

D It is crucial to change the TPN solution regularly to prevent contamination and minimize the risk of infection. Typically, TPN solutions are changed every 24 hours to maintain freshness and reduce the risk of bacterial growth.

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A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving magnesium sulfate IV bolus for preeclampsia. The client's respiratory rate is 6/min and they have absent deep tendon reflexes. Which of the following medications should the nurse anticipate the provider to prescribe?

Correct Answer is B

Explanation

A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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