The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity
The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history? A) Asthma with beta-adrenergic inhaler use
B) Angina with nitrate use
C) Chronic pain with narcotic use
D) Arthritis with corticosteroid use
B
Feedback:
Due to the action of the medication on the smooth muscles and blood vessels, clients are advised not to take medications to treat erectile dysfunction when also prescribed a nitrate drug for chest pain or heart problems. Combining medication could result in a serious drop in blood pressure. Although all disease processes and medication therapy should be screened for interactions, option B has the most serious side effects.
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A mother asks why her 6-year-old requires the daily dose of digoxin to be twice that of an adult. The nurse explains that children have:
1. greater resistance to medications. 2. variations in development of drug receptors. 3. a slower metabolic rate than adults. 4. more total body water, which dilutes the drug.
It is important for the nurse to be familiar with standardized guidelines developed by agencies such as the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) because they
a. express opinions about issues that affect all nurses b. provide a basis for salary administration within institutions c. protect against negative client outcomes while reducing costs d. establish national benchmarks to improve overall health
The nurse is providing care for a patient diagnosed with an increase in afterload and a CVP reading of 7 mm Hg. Which of the following will be included in this patient's plan of care?
1. Provide diuretic therapy as prescribed. 2. Provide plasma. 3. Provide intravenous fluids. 4. Encourage an increase in fluids by mouth.
Holistic health care means that you must
a. let the patient make their own health care decisions. b. consider the body, mind, and spirit of an individual. c. relate to the patient's entire family. d. put yourself in the patient's place