On the advice of his brother, a 53-year-old man has made an appointment to request a prescription for Viagra
The nurse who works at the clinic is reviewing the man's medical history and would recognize what health problem as being prohibitive to this treatment? A) Type 2 diabetes, treated with metformin
B) Hypercholesterolemia, treated with simvastatin
C) Angina, treated with nitroglycerin
D) Hypertension, treated with metoprolol
C
Feedback:
Prescribers should not order Viagra for men who also take organic nitrates, commonly used to treat angina, because the sildenafil–nitrate combination can cause severe hypotension resulting in dizziness, syncope, heart attack, or stroke. Metformin, metoprolol, and simvastatin are not likely to cause adverse effects.
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The government's Medicare and Medicaid programs were created to assist:
a. children and the elderly. b. health insurance companies. c. managed care plans. d. migrant populations.
Why do most people become ill with a specific viral infection only once?
a. Once a virus is killed by the body, it is gone from the earth forever. b. During a viral infection, the body changes the virus to be less virulent. c. Antiviral drugs change the viral DNA so it cannot infect the same person again. d. During a specific viral infection, the person's immune system improves protection against that virus.
For what population size are most local health departments responsible?
a. Populations of 50,000 or fewer b. Very large populations of 100,000 or more c. Very large populations of 250,000 or more d. Populations of more than 1 million residents
A patient comes to the clinic complaining of low back pain unrelieved by NSAIDs. The patient has a history of angle-closure glaucoma and renal disease. The primary care NP should prescribe:
a. tizanidine (Zanaflex). b. metaxalone (Skelaxin). c. acetaminophen (Tylenol). d. cyclobenzaprine (Flexeril).