A patient who is being admitted to the emergency department with intermittent chest pain gives the following list of medications to the nurse. Which medication has the most immediate implications for the patient's care?
a. Sildenafil (Viagra)
b. Furosemide (Lasix)
c. Captopril (Capoten)
d. Warfarin (Coumadin)
ANS: A
The nurse will need to avoid giving nitrates to the patient because nitrate administration is contraindicated in patients who are using sildenafil because of the risk of severe hypotension caused by vasodilation. The other home medications also should be documented and reported to the health care provider but do not have as immediate an impact on decisions about the patient's treatment.
You might also like to view...
The nurse is caring for a client who is following a treatment plan to decrease urinary tract infections. Which of the following indicates the need to change the treatment plan?
A) The client has history of repeated antibiotic therapy. B) The client has improved personal hygiene methods. C) The client exhibits continued symptoms. D) The client has diluted urine.
A fetus is assessed at 2 cm above the ischial spines. The nurse would document fetal station as:
A) +4 B) +2 C) 0 D) –2
The nurse is observing a patient read a pamphlet. The nurse notes that the patient has her head tilted to the side. Which inference can the nurse make about these behaviors?
a. The patient has poor vision. b. The patient is experiencing nystagmus. c. The patient is experiencing photophobia. d. The patient is experiencing diplopia.
The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following tests should the clinician order on the initial visit?
a. High sensitivity thyroid-stimulating hormone (TSH) and free T4 b. Free T4 and serum calcium c. Free T3 and T4 d. TSH and thyroxin antibodies