Which medication would cause the nurse to caution a client who is using sildenafil (Viagra) for erectile dysfunction?
1. Progesterone (Prometrium)
2. Diltiazem (Verapamil)
3. Organic nitrates (Nitro-Dur)
4. Atenolol (Tenormin)
3
Rationale 1: Progesterone (Prometrium) is a male hormone.
Rationale 2: Diltiazem (Verapamil) is a calcium channel blocker.
Rationale 3: The most serious adverse effects with sildenafil occur in men who are concurrently taking organic nitrates (Nitro-Dur), drugs used in the therapy of angina.
Rationale 4: Atenolol (Tenormin) is a beta blocker.
Global Rationale: The most serious adverse effects with sildenafil occur in men who are concurrently taking organic nitrates (Nitro-Dur), drugs used in the therapy of angina. Progesterone (Prometrium) is a male hormone and safe to use. Diltiazem (Verapamil) is a calcium channel blocker and safe to use. Atenolol (Tenormin) is a beta blocker and safe to use.
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Which of the following would violate client's rights according to the Patient's Bill of Rights? Select all that apply.
1. The client signed out and left the facility for the day to go to a casino. 2. The nurse showed the adult daughter of a client the notice posted about the ombudsman. 3. The nurse gave a prescribed prn sedative to a client who continuously yelled out, "Hello!". 4. The nurse refused to allow clients, who are husband and wife, to have private time with the door closed. 5. The nurse told the client, who is a practicing Jew, that the client had to participate in the facilities Christmas party.
Which clinical manifestation in a client with paralysis of one vocal cord alerts the nurse to the possibility of aspiration?
A. The client's oxygen saturation is 96%. B. The client's voice is breathy and weak. C. The client coughs immediately after swallowing. D. The client has an audible wheeze on exhalation only.
Which statement represents the priority for the older adults, their families, and the health care system?
A) A focus on disease prevention for institutionalized elders is critical. B) Wellness programs are necessary for the expanded elder communities to thrive. C) Health promotion and disease prevention are of increasing importance. D) Noninstitutionalized elders require health promotion to improve health status.
What is the central purpose of the model developed by Benner in the Model of Skill Acquisition in Nursing?
A) The model demonstrates the need for nurses to conduct research. B) The model focuses on the need for caring for clients. C) The model seeks to describe clinical expertise including six areas of practical knowledge. D) The model is useful in assessing a nurse only in the first year of practice.