Author Question: When reviewing a male client's medication history, the nurse realizes that sildenafil (Viagra) would ... (Read 73 times)

jasdeep_brar · **on:** Jul 23, 2018

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

Question 2

A male client complains of nocturia and a feeling of fullness in the lower pelvic region. What assessment question would the nurse ask?

1. What is your age?
2. Are you sexually active?
3. Do you take a daily shower or a tub bath?
4. Are you constipated?

yasmina · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 1
Rationale 1: The age of a client is important in determining the etiology of the symptoms. For a male who is over the age of 60, these symptoms could indicate benign prostatic hyperplasia.
Rationale 2: The sexual activity level of a male might be useful in determining the cause of his symptoms, but this question is not specific enough to gain the essential information.
Rationale 3: This question would not yield useful information.
Rationale 4: Constipation could cause a feeling of fullness but is not associated with nocturia.
Global Rationale: The age of a client is important in determining the etiology of the symptoms. For a male who is over the age of 60, these symptoms could indicate benign prostatic hyperplasia. The sexual activity level of a male might be useful in determining the cause of his symptoms, but this question is not specific enough to gain the essential information. Constipation could cause a feeling of fullness but is not associated with nocturia. Type of bath is not a factor.