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 D

Explanation

A. Nitrates do not share a cross-sensitivity with penicillin and are safe to use in this client.

B. Tetracycline is a different class of antibiotics and does not have cross-sensitivity with penicillin.

C. Aminoglycosides also do not have cross-sensitivity with penicillin and can be safely administered.

D. Cephalosporins are structurally related to penicillin and have a risk of cross-sensitivity; thus, they should not be given to a client with a history of anaphylaxis to penicillin.

Correct Answer is ["28"]

Explanation

Infusion rate (gtt/min) = (Infusion rate (mL/hr) Drop factor (gtt/mL)) / 60

In this case:

Infusion rate (mL/hr) = 85 mL/hr
Drop factor (gtt/mL) = 20 gtt/mL

Plugging the values into the formula:

Infusion rate (gtt/min) = (85 mL/hr 20 gtt/mL) / 60 = 28.33 gtt/min

Rounding to the nearest whole number, the infusion rate is 28 gtt/min.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client previously experienced a severe anaphylactic reaction to penicillin G. Which medication class should not be administered to this client due to the potential for cross-sensitivity?

Correct Answer is D

Explanation

Order: IV Fluids: LR @ 85 mL/hr Tubing Factor: 20 gtts/mL How many gtts/min are the IV fluids infusing? Round your answer to the nearest whole number.

Correct Answer is ["28"]

Explanation

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