A patient will begin using sildenafil citrate (Viagra) to treat erectile dysfunction. The nurse will instruct the patient to take the medication
a. daily in the morning.
b. just prior to sexual activity.
c. 30 minutes to 4 hours before sexual activity.
d. twice daily.
ANS: C
Sildenafil should be taken at least 30 minutes and less than 4 hours prior to sexual activity. It is not taken daily or twice daily. If taken just prior to sexual activity, it does not have time to take effect.
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When a client undergoing systemic chemotherapy reaches the nadir of treatment, priority care by the nurse should be directed toward
a. assisting the client to eat an adequate amount of food to maintain nutrition. b. enhancing the effects of chemotherapy by encouraging mild activity. c. improving the mental state of the client by using mental imagery. d. protecting the client from infection and bleeding.
Which unusual side effect should you teach patients and families to monitor for when eszopiclone (Lunesta) is prescribed for insomnia?
a. Dizziness b. Drowsiness c. Somnambulism d. Headache
A patient has just been visited by the anesthesiologist who will provide anesthesia during the patient's abdominal surgery the next day. The patient says, "I think I heard the doctor say something about hypnosis. I don't believe in all of that."
How should the nurse respond? 1. "Hypnosis is a standard method of relaxing the patient before anesthesia is started." 2. "That just means the drugs are going to make you unaware of what is happening." 3. "The doctor needs to block all of your reflexes so the surgeon can do the surgery." 4. "This is not the same as the kind of hypnosis you might see on television." 5. "The doctors do not want you to remember the pain of your procedure."
The nurse determines that the client's wound may be infected. To perform an aerobic wound culture, the nurse should:
1. Collect the superficial drainage 2. Collect the culture before cleansing the wound 3. Obtain a culturette tube and use sterile technique 4. Use the same technique as for collecting an anaerobic culture