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 A

Explanation

Carbamazepine is an antiepileptic medication commonly used to treat seizures. One of the potential adverse effects of carbamazepine is blurred vision. This occurs because carbamazepine can affect the function of the eyes, leading to changes in vision. Clients taking carbamazepine should be advised to report any changes in vision, such as blurriness or difficulty focusing, to their healthcare provider promptly.

B,C,D- are not related to carbamazepine use

A. Dry cough B. Oral candidiasis C. Black stools D. Tardive dyskinesia

Correct Answer is D

Explanation

metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.

A-ACEIS, ARBS cause angioedema and persistent dry cough

B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis

C-anticoagulants can cause black stools which is a sign of upper GI bleeding.

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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 providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is D

Explanation

A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?

A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?

A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?

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?

A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?

A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?

A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?