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A nurse is providing teaching to a client who has erectile dysfunction and has a new prescription for tadalafil. Which of the following client statements indicates an understanding of the teaching?

A.

I should crush this medication if I have difficulty swallowing.

B.

This medication can decrease my blood pressure.

C.

I can take this medication up to twice a day.

D.

The effects of this medication will not last more than 4 hours.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Crushing tadalafil is not recommended as it can alter the medication’s effectiveness and absorption. Tadalafil should be taken whole to ensure proper dosage and efficacy.

 

Choice B rationale

 

Tadalafil can decrease blood pressure by relaxing blood vessels, which allows for increased blood flow. This is a known effect of phosphodiesterase type 5 (PDE5) inhibitors like tadalafil.

 

Choice C rationale

 

Tadalafil should not be taken more than once a day. Taking it twice a day can increase the risk of side effects and is not recommended.

 

Choice D rationale

 

The effects of tadalafil can last up to 36 hours, not just 4 hours. This prolonged duration is one of the reasons it is preferred by some patients.


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View Related questions

Correct Answer is E

Explanation

Choice A rationale

Hypercalcemia is not typically a risk in the emergency department unless the patient has a specific condition that causes elevated calcium levels.

Choice B rationale

Hypotension can occur in the emergency department, especially in cases of shock or severe dehydration, but it is not the most common risk.

Choice C rationale

Hypokalemia can occur, particularly in patients with certain medical conditions or those taking diuretics, but it is not the most common risk.

Choice D rationale

Hypernatremia can occur, especially in patients with dehydration or certain medical conditions, but it is not the most common risk.

Choice E rationale

Hypoglycemia is a common risk in the emergency department, especially in patients with diabetes or those who have not eaten for an extended period.

Correct Answer is B

Explanation

Choice A rationale

Repeating up to four doses until pain is relieved is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

Choice B rationale

Storing unused tablets at room temperature is correct. Nitroglycerin tablets should be stored in their original container at room temperature, away from moisture and heat.

Choice C rationale

Taking two tablets at the onset of pain is incorrect. The correct instruction is to take one tablet at the onset of pain and repeat every 5 minutes if needed, up to a maximum of three tablets in 15 minutes.

Choice D rationale

Taking the medication two hours prior to exercise is incorrect. Nitroglycerin should be taken 5 to 10 minutes before an activity that may cause chest pain.

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