What adverse reaction does the nurse anticipate if a client takes nitroglycerin with sildenafil?

Hypotension

Bradycardia

Chest pain

Nausea

Answer and Explanation

The Correct Answer is A

A. The combination of nitroglycerin and sildenafil can lead to severe hypotension due to the vasodilatory effects of both medications. This is the most critical adverse reaction the nurse should anticipate.

B. Bradycardia is not a direct effect of this combination; rather, hypotension is a more significant concern.

C. Chest pain may occur if hypotension leads to inadequate perfusion, but it is not a direct adverse effect of the drug interaction.

D. Nausea can occur with various medications, but it is not specifically linked to the interaction between nitroglycerin and sildenafil.

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Correct Answer is A

Explanation

A. Confirming that the medication prescribed is the drug of choice for the specific microorganism is crucial in ensuring effective treatment, as the right drug will target the identified infection.

B. Teaching the client that significant adverse effects are expected and must be endured is not a supportive approach; the focus should be on managing and minimizing adverse effects rather than accepting them.

C. Administering antihistamines may not be relevant for all patients undergoing anti-infective treatment and is not a primary strategy for ensuring treatment success.

D. Monitoring for signs of arrhythmias or cardiac ischemia is not directly related to ensuring the success of anti-infective treatment; it may be necessary for certain medications but does not address the effectiveness of anti-infectives specifically.

A. Atropine B. Cholestyramine C. Inamrinone D. Milrinone

Correct Answer is A

Explanation

A. Atropine is an anticholinergic medication that increases heart rate by blocking vagal effects on the heart, making it the first-line treatment for symptomatic bradycardia.

B. Cholestyramine is a bile acid sequestrant used to lower cholesterol levels and does not have any effects on heart rate.

C. Inamrinone is a phosphodiesterase inhibitor used in heart failure for inotropic support but is not specifically indicated for bradycardia management.

D. Milrinone is also a phosphodiesterase inhibitor used for heart failure but does not address bradycardia directly.

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What adverse reaction does the nurse anticipate if a client takes nitroglycerin with sildenafil?

Nursing Test Bank

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