Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?
A. Taking finasteride
Sildenafil and finasteride can both lower blood pressure, and concomitant use may increase the risk of hypotension.
B. Occasional use of nitroglycerin
Nitroglycerin use is a contraindication for sildenafil due to the risk of severe hypotension.
C. Benign prostatic hypertrophy
Benign prostatic hypertrophy alone may not be a contraindication for sildenafil use.
D. Mild hypertension
Mild hypertension alone may not be a contraindication for sildenafil, but it should be considered in the overall assessment of cardiovascular health.
This question is an excerpt from Nurse Dive's nursing test bank - Ramsussen Section 4 Module 11. Pharmocology For Professional Nursing Proctored Exam. Take the full exam now
Full Explanation
A) Sildenafil and finasteride can both lower blood pressure, and concomitant use may increase the risk of hypotension.
B) Nitroglycerin use is a contraindication for sildenafil due to the risk of severe hypotension.
C) Benign prostatic hypertrophy alone may not be a contraindication for sildenafil use.
D) Mild hypertension alone may not be a contraindication for sildenafil, but it should be considered in the overall assessment of cardiovascular health.
Similar Questions
Which are preventable causes of medication errors? (Select all that apply.)
A. Writing a prescription that is unreadable.
Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.
B. Using barcode scanning to verify the client's name and birthdate.
Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.
C. Complicated drugs with names that look or sound alike.
Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.
D. Confusing drugs with similar packaging.
Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.
E. Giving a drug intravenously instead of intramuscularly.
Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.
Full Explanation
A) Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.
B) Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.
C) Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.
D) Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.
E) Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.
The nurse will include which information when teaching a client about hydroxyzine?
A. The drug will reduce redness and itching but not edema.
Hydroxyzine is an antihistamine that can reduce redness, itching, and edema.
B. The client should report nausea while taking the medication.
While nausea can be a side effect, it is not the primary concern with hydroxyzine.
C. The client should avoid drinking alcohol while taking the drug.
Avoiding alcohol is important as it can enhance the sedative effects of hydroxyzine.
D. This medication is not likely to cause sedation.
Hydroxyzine is known for its sedative effects, and sedation is a common side effect that the client should be aware of.
Full Explanation
A) Hydroxyzine is an antihistamine that can reduce redness, itching, and edema.
B) While nausea can be a side effect, it is not the primary concern with hydroxyzine.
C) Avoiding alcohol is important as it can enhance the sedative effects of hydroxyzine.
D) Hydroxyzine is known for its sedative effects, and sedation is a common side effect that the client should be aware of.
A nurse is caring for a client and her newborn immediately after delivery. The client's medication history includes prenatal vitamins throughout pregnancy, one or two glasses of wine before knowing she was pregnant, occasional use of an albuterol inhaler in her last trimester, and intravenous morphine during labor. What is the nurse's most appropriate action?
A. Prepare the client for motor delays in the infant caused by alcohol use.
Alcohol use, even before the client knew she was pregnant, may have some impact, but it is not the primary concern immediately after delivery.
B. Monitor the infant's respiration and prepare to administer naloxone if needed.
Intravenous morphine administration during labor can lead to respiratory depression in the newborn, and monitoring is crucial. Naloxone may be needed to reverse opioid effects.
C. Note a high-pitched cry and irritability in the infant and observe for seizures.
A high-pitched cry and irritability may be signs of opioid withdrawal, not related to the alcohol use.
D. Administer opioids to the infant to prevent withdrawal syndrome.
Administering opioids to the infant is not appropriate and could worsen any respiratory depression.
Full Explanation
A) Alcohol use, even before the client knew she was pregnant, may have some impact, but it is not the primary concern immediately after delivery.
B) Intravenous morphine administration during labor can lead to respiratory depression in the newborn, and monitoring is crucial. Naloxone may be needed to reverse opioid effects.
C) A high-pitched cry and irritability may be signs of opioid withdrawal, not related to the alcohol use.
D) Administering opioids to the infant is not appropriate and could worsen any respiratory depression.