Author Question: A patient has high blood pressure and penile erectile dysfunction. He asks the nurse if he could try ... (Read 181 times)

rosent76 · **on:** Jul 23, 2018

A patient has high blood pressure and penile erectile dysfunction. He asks the nurse if he could try tadalafil (Cialis) after seeing an advertisement on television.

What medications, if taken by the patient, would the nurse recognize as increasing the risk associated with taking tadalafil? A) Beta-blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Alpha-adrenergic blockers
D) Calcium channel blockers

Question 2

When assessing a patient who has been prescribed midodrine, what would the nurse assess for?

A) Pancreatic disease
B) Renal failure
C) Open-angle glaucoma
D) Hypothyroidism

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

Answer to Question 1

C
Feedback:
Serious drops in blood pressure, leading to potentially fatal myocardial infarction or cerebrovascular event, have been reported when Cialis is combined with alpha-adrenergic blockers. This reaction has not been reported with beta-blockers, calcium channel blockers, or ACE inhibitors.

Answer to Question 2

B
Feedback:
Assess for contraindications or cautions: any known allergies to the drug to avoid hypersensitivity reactions; presence of any cardiovascular diseases, which could be exacerbated by the vascular effects of these drugs; thyrotoxicosis, or diabetes, which would lead to an increase in thyroid stimulation or glucose elevation; chronic renal failure, which could be exacerbated by drug use; renal or hepatic impairment, which could interfere with drug excretion or metabolism; and current status of pregnancy and lactation. Options A, C, and D are incorrect.