A client is to receive sildenafil citrate (Viagra) for erectile dysfunction. In teaching the client, the nurse discovers that the client is taking nitroglycerin (NTG) prn angina. Which instruction is a priority at this time?
a. Tell the client to take both medications as ordered by the healthcare provider.
b. Tell the client not to take the NTG until 1 hour after a dose of Viagra if angina occurs.
c. Ask the client to watch for signs of postural hypotension, including dizziness.
d. Refer the client to the healthcare provider because taking both medications is contraindicated.
Question 2
The client reports that he has been using Cantharides (Spanish fly) as a sexual stimulant. What is the highest priority instruction that the nurse should give the client?
a. Myocardial infarction has been reported from use of this substance.
b. Sudden death has been reported from use of this substance.
c. Permanent penile damage can result from use of this substance.
d. Methemoglobinemia has been reported from use of this substance.
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