When reviewing a male client's medication history, the nurse realizes that sildenafil (Viagra) would be contraindicated when taken with which medication?
1. Opioids
2. Isosorbide mononitrate
3. Insulin
4. Proton-pump inhibitor
Correct Answer: 2
Rationale 1: Sildenafil (Viagra) is not contraindicated when taken with an opioid medication.
Rationale 2: Isosorbide mononitrate is contraindicated for treatment with sildenafil (Viagra) due to the potential complication of life-threatening hypotension.
Rationale 3: Sildenafil (Viagra) is not contraindicated when taken with insulin.
Rationale 4: Sildenafil (Viagra) is not contraindicated when taken with a proton pump inhibitor.
Global Rationale: Isosorbide mononitrate is contraindicated for treatment with sildenafil (Viagra) due to the potential complication of life-threatening hypotension. Sildenafil is not contraindicated in those who take opioids, insulin, or PPIs.
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A) Right upper quadrant pain that worsens with deep breaths and palpation
B) Excruciating pain in the flank and upper outer quadrant of the abdomen that radiates to the bladder area
C) Pain described as \"fire poking in their side,\" pulsating with every heart beat but decreases when in fetal position
D) Perineal pain that increases when urinating and then lessens until the time to urinate again
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