A 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil (Viagra)

He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?
a. Significant increase in pulse rate
b. Significant decrease in blood pressure
c. Increased risk of bleeding
d. Reduced effectiveness of the sildenafil


ANS: B

Nursing

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The nurse is counseling a 17-year-old girl on smoking cessation. The nurse should include which of the following helpful tips in her education? Select all that apply

a. "Keep healthy snacks or gum available to chew instead of smoking a cigarette." b. "Don't tell your friends and family you are trying to quit, until you feel confident that you'll be successful." c. "Plan a time to quit when you will not have many other demands or stressors in your life." d. "Reward yourself with an activity you enjoy when you quit smoking."

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The nurse is caring for several clients on a respiratory unit. Which client does the nurse see first?

a. Older adult with an SaO2 of 96% on room air b. Adult client with an SaO2 of 94% on 2 L/min c. Young adult with an arterial oxygen level of 85% d. Young adult with an arterial oxygen level of 94%

Nursing

A client weighs 204 lb and is 6 ft tall. The prescriber orders a dose of 2 mcg. Is this an accurate dose?

What will be an ideal response?

Nursing

The nurse determines that an elderly patient is at risk for infection due to decreased immunity. Which plan of care best addresses the prevention of infection for the patient?

a. Encourage the patient to stay up to date on all vaccinations. b. Inform the patient of the importance of finishing the entire dose of antibiotics. c. Schedule patient to get annual tuberculosis skin testing. d. Create an exercise routine to run 30 minutes every day.

Nursing