A male patient is prescribed a long-acting nitroglycerin medication for stable angina. Which medication should the nurse remind the patient to avoid while taking the nitroglycerin?
a. Sildenafil (Viagra)
b. Warfarin (Coumadin)
c. Penicillin (Pen-V-K)
d. Hydrochlorothiazide (HCTZ)
ANS: A
Patients prescribed nitrates should not use drugs, such as sildenafil (Viagra), for erectile dysfunction, because this drug dilates blood vessels and may cause a significant drop in blood pressure if used together. B. C. D. There is no reason for the patient to avoid taking warfarin, penicillin, or hydrochlorothiazide while taking a nitrate medication.
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Even though the Indian Health Service (IHS) provides care to a wide area of the population, what is an issue with this health service?
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What action indicates that a school-age child is using a metered-dose inhaler correctly?
a. The child uses his inhaled steroid before the bronchodilator. b. The child exhales forcefully as he squeezes the inhaler. c. The child holds his breath for 10 seconds after the first puff. d. The child waits 10 minutes before taking a second puff.
Upon physical assessment, a nurse notes that a client has visual impairment. The nurse is concerned that the client's visual changes may affect her ability to self-administer medications
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Which of the following signs and symptoms most likely suggests meningitis cause by N. meningitidis?
A. a purpura or a petechial rash B. absence of fever C. development of encephalitis D. absence of nuchal rigidity