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A nurse is teaching a patient about the use of sildenafil [Viagra] for erectile dysfunction. Which statement by the patient indicates understanding of the teaching?

A.

"This drug may cause me to have an erection when I don't want one."

B.

"If my erection lasts longer than 6 hours, I should contact my provider."

C.

"If I have chest pain with sildenafil, I can use my nitroglycerin as prescribed."

D.

"I should take this drug 5 minutes before sexual activity."

Answer and Explanation

The Correct Answer is B

A. While sildenafil can cause erections, it does not typically lead to unwanted erections; it requires sexual stimulation to be effective.  

 

B. An erection lasting longer than 6 hours, known as priapism, is a serious side effect and requires immediate medical attention, indicating the patient understands this risk.  

 

C. Using nitroglycerin with sildenafil can lead to dangerous drops in blood pressure, and patients should be advised to avoid this combination.  

 

D. Sildenafil should be taken about 30 minutes to 1 hour before sexual activity for best results, not just 5 minutes prior.


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Correct Answer is B

Explanation

A. Methylprednisolone does not contain soy products and is not contraindicated for clients with a soybean allergy.

B. Ipratropium bromide is often formulated with soy lecithin as a stabilizer, making it contraindicated for individuals allergic to soybeans.

C. Montelukast is a leukotriene receptor antagonist and does not contain soy products, so it is safe for this client.

D. Albuterol does not contain soy products and is generally safe for clients with a soybean allergy.

Correct Answer is D

Explanation

A. Paroxetine is an SSRI antidepressant used for depression and anxiety disorders, not for Parkinson's Disease.

B. Lisinopril is an ACE inhibitor primarily used for hypertension and heart failure, and it does not address symptoms of Parkinson's Disease.

C. Risperidone is an atypical antipsychotic that may be used in some cases for behavioral symptoms but is not a primary treatment for Parkinson's Disease.

D. Levodopa (Inbrija) is a medication specifically indicated for the management of Parkinson's Disease, as it helps to replenish dopamine levels, alleviating motor symptoms associated with the disease.

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