A 55-year-old man presents at the clinic complaining of erectile dysfunction. The patient has a history of diabetes mellitus. The physician orders tadalafil (Cialis) to be taken 1 hour before sexual intercourse
The nurse reviews the patient's history prior to instructing the patient on the use of this medication. What disorder will contraindicate the use of tadalafil (Cialis) and sildenafil (Viagra)?
A) Cataracts
B) Retinopathy
C) Hypotension
D) Lung cancer
Ans: B
Feedback: Patients with cataracts, hypotension, or lung cancer will be allowed to take tadalafil (Cialis) and sildenafil (Viagra) if needed. However, tadalafil (Cialis) and sildenafil (Viagra) are contraindicated with diabetic retinopathy.
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A patient diagnosed with pernicious anemia asks why vitamin B12 is administered by injection. What is the best response to the patient?
A) "Oral forms of vitamin B12 will not be absorbed." B) "Oral ingestion of vitamin B12 causes irritation and bleeding." C) "Pernicious anemia causes changes in the mucous membrane." D) "In severe pernicious anemia, vitamin B12 orally is not effective."
A registered nurse is assisting the surgeon in conducting an exploratory laparoscopy. The nurse holds the tissue retractors, biopsies tissue, and sutures the patient at the conclusion of the case
The nurse most likely to conduct these activities would be the: 1. Registered nurse first assistant. 2. Circulating nurse. 3. Scrub nurse. 4. Certified registered nurse anesthetist.
Advance directives such as the health care proxy and living will support what ethical principle?
a. Veracity c. Beneficence b. Advocacy d. Autonomy
The Outcome Present-State Testing Model is a dynamic, systematic, clinical reasoning process that emphasizes outcomes of care. There are several steps in the process. The family story step provides
1. Essential information about individual family members and the family as a whole 2. Meaningful clusters of evidence 3. Present state and desired outcomes 4. Clinical judgment