The client reports that he has been using Cantharides (Spanish fly) as a sexual stimulant. What is the highest priority instruction that the nurse should give the client?
a. Myocardial infarction has been reported from use of this substance.
b. Sudden death has been reported from use of this substance.
c. Permanent penile damage can result from use of this substance.
d. Methemoglobinemia has been reported from use of this substance.
ANS: C
Use of Spanish fly can result in permanent penile damage. The other options include side effects of amyl nitrate.
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