What adverse reaction does the nurse anticipate if a client takes nitroglycerin with sildenafil?
Hypotension
Bradycardia
Chest pain
Nausea
The Correct Answer is A
A. The combination of nitroglycerin and sildenafil can lead to severe hypotension due to the vasodilatory effects of both medications. This is the most critical adverse reaction the nurse should anticipate.
B. Bradycardia is not a direct effect of this combination; rather, hypotension is a more significant concern.
C. Chest pain may occur if hypotension leads to inadequate perfusion, but it is not a direct adverse effect of the drug interaction.
D. Nausea can occur with various medications, but it is not specifically linked to the interaction between nitroglycerin and sildenafil.
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Correct Answer is B
Explanation
A. Using combination therapy may be beneficial in some cases but is not the first step in ensuring the most appropriate drug is chosen for a specific pathogen.
B. Obtaining sensitivity testing is essential to determine the specific antibiotic to which the pathogen is susceptible, ensuring effective treatment.
C. Checking client allergies is important to prevent adverse reactions but does not directly address whether the chosen drug is appropriate for the pathogen.
D. Evaluating the bactericidal effects is part of assessing the treatment's effectiveness, but it should follow sensitivity testing to determine the correct medication.
Correct Answer is B
Explanation
A. This statement is accurate as antiviral drugs primarily reduce the severity and duration of viral infections but do not prevent transmission to others.
B. The statement that "antivirals are the cure for viral infections" is incorrect, as most antivirals manage symptoms or reduce viral load rather than completely curing the infection, indicating a need for further instruction.
C. This statement is correct; following prescribed application guidelines for topical antivirals is essential to avoid skin irritation or decreased efficacy.
D. This statement is also correct, as using gloves or a finger cot is recommended to prevent contamination and protect the healthcare worker from exposure while applying topical antivirals.