A client with angina asks about obtaining a prescription for sildenafil to treat erectile dysfunction. Which of the following medications is contraindicated with Sildenafil?

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ATI Pharmacology Quizlet Questions

Question 1 of 5

A client with angina asks about obtaining a prescription for sildenafil to treat erectile dysfunction. Which of the following medications is contraindicated with Sildenafil?

Correct Answer: B

Rationale: Isosorbide is an organic nitrate used to manage angina. Concurrent use of sildenafil with organic nitrates, like isosorbide, is contraindicated due to the risk of fatal hypotension. It is essential for clients to avoid taking nitrate medications within 24 hours of using isosorbide to prevent serious complications.

Question 2 of 5

A healthcare professional is caring for a young adult client with a serum calcium level of 8.8 mg/dL. Which of the following medications should the professional anticipate administering to this client?

Correct Answer: B

Rationale: In this scenario, the correct medication to anticipate administering to a young adult client with a serum calcium level of 8.8 mg/dL is option B) Calcium carbonate. Calcium carbonate is a common treatment for hypocalcemia, which is characterized by low serum calcium levels. It works by providing supplemental calcium to raise the serum levels back to normal. In this case, the client's low serum calcium level indicates a need for a calcium supplement like calcium carbonate. The other options are not appropriate for a client with low serum calcium. A) Calcitonin-salmon is used to treat hypercalcemia (high serum calcium levels) by inhibiting bone resorption. C) Zoledronic acid and D) Ibandronate are both bisphosphonates used in the treatment of osteoporosis by inhibiting bone breakdown, not for increasing serum calcium levels. In an educational context, understanding the rationale behind choosing the correct medication based on the client's condition is crucial for safe and effective pharmacological interventions. It also highlights the importance of assessing and interpreting lab values to guide medication choices in clinical practice.

Question 3 of 5

During an admission assessment for a client with severe Aspirin toxicity, which finding should the nurse expect?

Correct Answer: D

Rationale: In severe Aspirin toxicity, respiratory depression is an anticipated finding due to the development of respiratory acidosis. Aspirin toxicity can lead to metabolic acidosis, causing the individual to hyperventilate initially to compensate. However, as the condition progresses, respiratory depression can occur, resulting in impaired gas exchange and respiratory acidosis.

Question 4 of 5

A healthcare professional is reviewing the medication administration record for a client who is receiving transdermal Fentanyl for severe pain. Which of the following medications should the healthcare professional expect to cause an adverse effect when administered concurrently with Fentanyl?

Correct Answer: B

Rationale: Diazepam, a CNS depressant, can interact with Fentanyl causing severe sedation when administered concurrently. This is due to the additive central nervous system depressant effects of both medications, which can lead to excessive sedation, respiratory depression, and other serious adverse effects. Therefore, healthcare professionals need to monitor clients closely for signs of excessive sedation or respiratory depression when administering these medications together.

Question 5 of 5

During the repair of a skin laceration, a client receives a local anesthetic of Lidocaine. For which of the following adverse reactions should the nurse monitor the client?

Correct Answer: A

Rationale: Seizures are a potential adverse reaction following the administration of local anesthetics like Lidocaine. This adverse effect is important to monitor as it can be life-threatening and requires immediate intervention. It is crucial for the nurse to be vigilant in recognizing any signs of seizure activity to ensure the client's safety and well-being.

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