Author Question: A 49-year-old man who has type 2 diabetes, high blood pressure, hyperlipidemia, and gastroesophageal ... (Read 38 times)

Alygatorr01285 · **on:** Jun 25, 2018

A 49-year-old man who has type 2 diabetes, high blood pressure, hyperlipidemia, and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection.

Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?
a. Ranitidine (Zantac)
b. Atorvastatin (Lipitor)
c. Propranolol (Inderal)
d. Metformin (Glucophage)

Question 2

A 24-year-old female says she wants to begin using oral contraceptives. Which information from the nursing assessment is most important to report to the health care provider?

a. The patient quit smoking 5 months previously.
b. The patient's blood pressure is 154/86 mm Hg.
c. The patient has not been vaccinated for rubella.
d. The patient has chronic iron-deficiency anemia.

mcarey591 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Some antihypertensives may cause erectile dysfunction, and the nurse should anticipate a change in antihypertensive therapy. The other medications will not affect erectile function.

Answer to Question 2

ANS: B
Because hypertension increases the risk for morbidity and mortality in women taking oral contraceptives, the patient's blood pressure should be controlled before oral contraceptives are prescribed. The other information also will be reported but will not affect the choice of contraceptive.