The patient takes nitroglycerine (Nitrostat) for relief of occasional stable angina. The nurse would be most concerned about which statement made by the patient?
1. "I'm getting married tomorrow; I hope my erectile dysfunction isn't a problem."
2. "I'm going water skiing tomorrow; I hope my angina isn't a problem."
3. "I really don't like those little pills. I've heard about patches: can I try them?"
4. "My angina has been a little more frequent. Do I need a painkiller too?"
Correct Answer: 1
Rationale: A patient with erectile dysfunction is likely to use sildenafil (Viagra). Concurrent use of sildenafil (Viagra) and nitroglycerine (Nitrostat) may cause life-threatening hypotension and cardiovascular collapse. An activity like waterskiing could precipitate angina, however this can be prevented by taking nitroglycerine (Nitrostat) prior to the activity (prophylactic use). Occurrences of stable angina can change somewhat in frequency; however an analgesic is not indicated. Patches can be substituted for pills in many cases; this is a reasonable question, but not the primary concern at this time.
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