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

Septic shock is a state of reduced intravascular volume due to extravasation of plasma. It is caused by systemic infections that lead to inflammation and increased leakage in blood vessels. It presents with hypotension, and persistent hypotension indicates that the infusion rate is not addressing the shock status.

A, C, D- These are adverse effects that can be observed with dopamine and could be worsened by increasing the infusion rate.

A. "Ensure that the air bubble remains in the syringe." B. "Rub the site after injecting the medication." C. "Inject the medication into the lateral thigh." D. "Release the skin fold before injecting the medication."

Correct Answer is A

Explanation

The air bubble should not be expelled from the syringe or aspirate. The air bubble in the syringe of enoxaparin is intended to remain to ensure the full dose of medication is administered.

B-Avoid rubbing a sit may increase the risk of bleeding /irritation

C-The injection is made into the anterolateral or posterolateral aspect of the thigh

D-The skin should not be released before injection as the medication may be injected into the muscle

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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 assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

Correct Answer is B

Explanation

A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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 heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?

A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?

A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider?

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?

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

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?