A 55-year-old patient who has a history of angina and is being treated with nitroglycerine asks for a prescription to aid with erectile dysfunction. Which nursing intervention is indicated?
1. Explain why the erectile dysfunction medication is not a good idea with the heart medication.
2. Provide education about the medication once the prescription is provided.
3. Remind the patient to stop taking the heart medication when planning to take the erectile dysfunction medication.
4. Suggest a behavioral health consult to analyze the reason for the erectile dysfunction.
1
Rationale 1: Medications for erectile dysfunction are contraindicated for the patient who is taking medications to manage cardiac conditions.
Rationale 2: Sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) should not be taken by men who are also taking nitrate-based drugs.
Rationale 3: Discontinuing cardiac drugs is not advisable.
Rationale 4: A behavioral health consult would not be the first or primary suggestion in this case, as physical issues should be explored.
You might also like to view...
A patient is unable to read even the largest letters on the Snellen chart. The nurse should take which action next?
a. Refer the patient to an ophthalmologist or optometrist for further evaluation. b. Assess whether the patient can count the nurse's fingers when they are placed in front of his or her eyes. c. Ask the patient to put on his or her reading glasses and attempt to read the Snellen chart again. d. Shorten the distance between the patient and the chart until the letters are seen, and record that distance.
A nurse is reading the medical history of an elderly client with chronic obstructive pulmonary disease (COP
D). The nurse learns that the client has cor pulmonale. Cor pulmonale is A) enlargement of the left ventricle. B) enlargement of the right ventricle with dysrhythmias. C) decreased carbon dioxide. D) anemia with shortness of breath.
The 75-year-old resident in the nursing home who cares for 40 birds in an aviary complains of shortness of breath and fatigue and a dry cough. Based on this information, the nurse suspects the resident may be suffering from:
a. coccidioidomycosis. b. histoplasmosis. c. tuberculosis. d. atypical pneumonia.
The clinic nurse counsels Nicki, a 17-year-old woman interested in beginning contraceptive use. A short-term positive outcome of the visit would include:
A) Nicki's ability to describe when and how to obtain and use the contraceptive chosen B) Nicki's lack of side effects after three months C) Nicki's voiced satisfaction with this method over the last six months D) Nicki's continued usage and pregnancy prevention for six months