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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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View Related questions

Correct Answer is B

Explanation

A. There is no established link between ciprofloxacin and endometrial cancers; this warning does not apply.

B. Ciprofloxacin has a black box warning for the risk of tendon rupture and tendinopathy, particularly in older adults and those concurrently taking corticosteroids.

C. Thromboembolic events are not specifically associated with ciprofloxacin; thus, this warning is not applicable.

D. Thrombocytopenia is a potential side effect of various medications but is not the primary concern associated with ciprofloxacin use.

Correct Answer is C

Explanation

A. PT/INR is not the appropriate measure for heparin therapy, as heparin is monitored using activated partial thromboplastin time (aPTT). This response could mislead the client regarding treatment expectations.

B. While it may take time to reach therapeutic levels, this statement doesn't clarify that heparin is not a clot-dissolving agent.

C. Heparin prevents the extension of existing clots and the formation of new clots but does not actively dissolve clots already present.

D. This statement incorrectly suggests that immediate effects are seen, which is not the case as heparin's action involves prevention rather than dissolution.

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