A nurse is teaching a patient about the use of sildenafil [Viagra] for erectile dysfunction. Which statement by the patient indicates understanding of the teaching?

"This drug may cause me to have an erection when I don't want one."

"If my erection lasts longer than 6 hours, I should contact my provider."

"If I have chest pain with sildenafil, I can use my nitroglycerin as prescribed."

"I should take this drug 5 minutes before sexual activity."

Answer and Explanation

The Correct Answer is B

A. While sildenafil can cause erections, it does not typically lead to unwanted erections; it requires sexual stimulation to be effective.
B. An erection lasting longer than 6 hours, known as priapism, is a serious side effect and requires immediate medical attention, indicating the patient understands this risk.
C. Using nitroglycerin with sildenafil can lead to dangerous drops in blood pressure, and patients should be advised to avoid this combination.
D. Sildenafil should be taken about 30 minutes to 1 hour before sexual activity for best results, not just 5 minutes prior.

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Correct Answer is A

Explanation

A. Estrogen blockers can increase the risk of thromboembolic events, including deep vein thrombosis and pulmonary embolism, which the nurse should caution the client about.
B. Tendon rupture is more commonly associated with certain antibiotics and corticosteroids, not typically with estrogen blockers.
C. Photosensitivity is not a common side effect associated with estrogen blockers; it is more related to specific antibiotics or other medications.
D. While some malignancies can be linked to immunosuppressive therapies, the direct risk of lymphomas is not typically associated with estrogen blockers.

A. Beta Blockers B. Calcium Channel Blockers C. NSAIDs D. Fibric Acid Derivatives

Correct Answer is C

Explanation

A. Beta blockers are used to manage blood pressure and heart rate but are not effective in reducing niacin-induced flushing.
B. Calcium channel blockers help to relax blood vessels but do not address the flushing side effect caused by niacin.
C. NSAIDs, like aspirin, can help reduce the flushing associated with niacin. This flushing occurs due to prostaglandin release, which NSAIDs can inhibit.
D. While fibric acid derivatives are used to lower cholesterol, they do not alleviate the flushing side effect of niacin.

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A nurse is teaching a patient about the use of sildenafil [Viagra] for erectile dysfunction. Which statement by the patient indicates understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering an estrogen blocker to a client diagnosed with advanced breast cancer. Which of the following side effects will the nurse caution the client regarding?

Correct Answer is A

Explanation

A client newly prescribed niacin (Nicotinic Acid) presents to the healthcare setting with complaints of flushing following doses. Which of the following medications would the nurse anticipate being administered?

Correct Answer is C

Explanation

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