Nokea
A male patient with erectile dysfunction has asked for a prescription for sildenafil (Viagra). Before giving this medication, the nurse should assess for which of the following conditions?
- A. History of peptic ulcer disease
- B. Use of nitrates
- C. Recent history of a stroke
- D. History of hypertension
Correct Answer: B
Rationale: Sildenafil should not be used by patients taking nitrates, as the combination can lead to severe hypotension.
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A 35-year-old female is diagnosed with vitamin B12 deficiency anemia (pernicious anemia). How should the nurse respond when the patient asks what causes pernicious anemia? A decrease in ______ is the most likely cause.
- A. Ferritin
- B. Gastric enzymes
- C. Intrinsic factor
- D. Erythropoietin
Correct Answer: C
Rationale: A decrease in intrinsic factor is the most likely cause of pernicious anemia.
A nursing student having trouble moving her head from side to side is likely experiencing a problem with which type of neurons?
- A. General visceral efferent neurons
- B. Preganglionic neurons
- C. Parasympathetic postganglionic neurons
- D. Pharyngeal efferent neurons
Correct Answer: D
Rationale: Pharyngeal efferent neurons are involved in head movement, including side-to-side motions.
A nurse is caring for a client with heart failure who is experiencing pulmonary edema. Which intervention should be prioritized?
- A. Administer diuretics to reduce fluid overload.
- B. Position the client in high-Fowler's position.
- C. Administer oxygen therapy to improve oxygenation.
- D. Restrict fluid intake to prevent further fluid overload.
Correct Answer: C
Rationale: Oxygen therapy is prioritized to improve oxygenation in clients with pulmonary edema.
A patient is being treated for a severe fungal infection with amphotericin B. What is the expected length of treatment for this patient?
- A. 1 to 2 weeks
- B. 3 to 6 weeks
- C. 4 to 12 weeks
- D. 15 to 18 weeks
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 55-year-old man presents with a history of fatigue, weight loss, and night sweats. He reports recent onset of a productive cough and hemoptysis. Which condition should the nurse suspect?
- A. Lung cancer
- B. Pneumonia
- C. Tuberculosis
- D. Pulmonary embolism
Correct Answer: C
Rationale: The symptoms of fatigue, weight loss, night sweats, and hemoptysis are characteristic of tuberculosis.