Author Question: A male client who is prescribed Sildenafil (Viagra) asks the nurse how the medication works. What is ... (Read 78 times)

lb_gilbert · **on:** Jul 23, 2018

A male client who is prescribed Sildenafil (Viagra) asks the nurse how the medication works. What is the nurse's best response?

1. It causes an erection to occur.
2. It restricts blood flow to the penis.
3. It stimulates the release of phosphodiesterase-5, an enzyme that causes an erection.
4. It inhibits the release of an enzyme that relaxes smooth muscle in the penis to allow blood flow leading to an erection.

Question 2

A client is requesting a prescription for tadalafil (Cialis). What priority assessment question should the nurse ask this client?

1. Do you have any sexually transmitted diseases?
2. Do you take nitroglycerin?
3. Have you received a diagnosis of diabetes?
4. Do you take medication for high blood pressure?

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

Answer to Question 1

Correct Answer: 4
Rationale 1: Sildenafil (Viagra) does not cause an erection.
Rationale 2: Sildenafil (Viagra) does not restrict blood flow to the penis.
Rationale 3: Sildenafil (Viagra) does not stimulate the release of phosphodiesterase-5.
Rationale 4: Sildenafil (Viagra) inhibits the release of phosphodiesterase-5, which relaxes smooth muscle in the corpus cavernosa and allows an increase of blood flow to the penis, causing an erection.
Global Rationale: Sildenafil (Viagra) inhibits the release of phosphodiesterase-5, which relaxes smooth muscle in the corpus cavernosa and allows an increase of blood flow to the penis, causing an erection. The medication itself does not cause an erection. It does not restrict blood flow to the penis and does not stimulate release of phosphodiesterase-5.

Answer to Question 2

Correct Answer: 2
Rationale 1: Having a sexually transmitted disease is not a contraindication to taking tadalafil (Cialis).
Rationale 2: Combining tadalafil (Cialis) with nitroglycerin can lead to serious hypotension.
Rationale 3: Having diabetes mellitus is not a contraindication to taking tadalafil (Cialis).
Rationale 4: Taking blood pressure medication is not a contraindication to the use of tadalafil (Cialis).
Global Rationale: Combining tadalafil (Cialis) with nitroglycerin can lead to serious hypotension. Having a sexually transmitted disease, having DM, and taking blood pressure medication are not contraindications to taking tadalafil (Cialis).