Author Question: A woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a ... (Read 133 times)

asmith134 · **on:** Jul 24, 2018

A woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago. The nurse will instruct this patient to

a. rinse the ring in cool water and reinsert as soon as possible.
b. rinse the ring in hot water and reinsert as soon as possible.
c. rinse the ring in lukewarm water, reinsert, and use a nonhormonal backup contraceptive.
d. insert a new ring.

Question 2

Which type of drug is most effective in the treatment of erectile dysfunction (ED)?

a. Phosphodiesterase inhibitors
b. Antiandrogen agents
c. Sympathomimetic agents
d. Alpha-1 adrenergic blocking agents

katara · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C
If the ring is expelled for longer than 3 hours, the patient should be instructed to rinse it in cool or lukewarm water, reinsert, and use a nonhormonal backup contraceptive for the next 7 consecutive days of continuous ring use. It is not necessary to insert a new ring after a day.

Answer to Question 2

ANS: A
Sildenafil (Viagra), a phosphodiesterase inhibitor, increases cyclic guanosine monophosphate concentrations in the corpus cavernosum, which results in smooth muscle relaxation and greater blood flow into the corpus cavernosum, producing an erection. Antiandrogen agents, sympathomimetic agents, and adrenergic blocking agents are not effective in treating ED.