A nurse is obtaining a history from a patient who will receive tadalafil [Cialis] for erectile dysfunction. The patient reports that he expects to have sexual activity three or four times a week. What should the nurse tell the patient?
a. Adverse effects of tadalafil resolve more quickly than those of sildenafil.
b. There is an increased risk of priapism with frequent sexual activity.
c. He should take tadalafil 30 to 60 minutes before sexual activity.
d. He should talk to his provider about daily dosing of tadalafil.
D
Tadalafil is approved for daily dosing and can be given daily for men who anticipate sexual ac-tivity twice a week or more. Tadalafil has longer effects—up to 36 hours—than sildenafil, and adverse effects take longer to resolve. There is no increased risk of priapism associated with an increase in sexual activity. Because tadalafil has longer effects, dosing and sexual activity do not have to be closely timed.
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When instructing a patient on the use of a nitroglycerine patch, what should the patient be taught regarding the advantage of the nitroglycerine patch?
A) It is only administered one time per week. B) It is more effective than the tablets. C) It has a longer duration of action. D) It has a faster action than the tablets.
The nurse explains that the older adults account for a large percentage of the total deaths resulting from falls. This percentage is:
1. 13%. 2. 27%. 3. 40%. 4. 72%.
The nurse is asked to instruct the patient on performing Kegel exercises. The patient should be instructed to contract the muscles he or she would use to stop the flow of urine. The proper technique is to:
1. contract for 3 to 4 seconds and relax for 10 seconds. 2. contract for 10 seconds and relax for 10 seconds. 3. contract for 10 seconds and relax for 3 to 4 seconds. 4. contract for 3 to 4 seconds and relax for 3 to 4 seconds.
The client with impaired swallowing ability begins to choke while eating. Which action should the nurse implement?
1. Suction the airway until clear. 2. Turn the client to prone position. 3. Leave the room to get assistance. 4. Instruct client to take deep breaths.