An infertile man is being treated with Viagra (sildenafil citrate) for erectile dysfunction (ED). Which of the following is a contraindication for this medication?

Correct Answer: B

Rationale: In this scenario, option B) Nitroglycerin ingestion for angina pectoris is the correct answer as a contraindication for Viagra use in a man being treated for erectile dysfunction. Nitroglycerin is a vasodilator that works by relaxing blood vessels, leading to a drop in blood pressure. When combined with Viagra, another vasodilator, there is a significant risk of severe hypotension, which can be life-threatening. Option A) Preexisting diagnosis of herpes simplex 2 is incorrect because it is not a contraindication for Viagra use. Herpes simplex 2 is a viral infection and does not directly interact with Viagra in a way that would make it unsafe for use in this context. Option C) Retinal damage from type I diabetes mellitus is incorrect because although Viagra can rarely cause visual disturbances, retinal damage from diabetes is not a direct contraindication for its use. Option D) Postsurgical care for resection of the prostate is incorrect because Viagra is commonly used to treat erectile dysfunction following prostate surgery, and there is no direct contraindication for its use in this scenario. In an educational context, understanding contraindications of medications is crucial for safe and effective patient care. Healthcare providers need to be aware of potential drug interactions and contraindications to prevent adverse effects and ensure the best outcomes for their patients.

Correct Answer: D

Rationale: In the context of a client hospitalized with severe ovarian hyperstimulation syndrome and experiencing fluid volume excess due to third spacing, the highest priority nursing goal is ensuring the client's lung fields remain clear throughout hospitalization (option D). This is crucial because fluid volume excess can lead to pulmonary complications such as pulmonary edema and impaired gas exchange. Maintaining clear lung fields is essential for adequate oxygenation and preventing respiratory distress in this critical condition. Option A, focusing on the client's weight, is not the highest priority as it does not directly address the immediate risk of respiratory compromise from fluid volume excess. Option B, regarding skin breakdown, is important but secondary to ensuring respiratory function. Option C, related to electrolyte levels, is also important but does not address the urgent need to maintain clear lung fields in the face of fluid excess. In an educational context, understanding prioritization of nursing goals is crucial in providing effective and safe care to patients. This question highlights the need for nurses to identify the most critical issue that requires immediate attention to prevent complications and prioritize interventions accordingly. It emphasizes the importance of clinical judgment and critical thinking in delivering quality patient care.

Correct Answer: D

Rationale: The correct answer is option D) the probability of any of your children having the disease is less than 10%. This response is appropriate because Huntington's disease (HD) is caused by a dominant genetic mutation on chromosome 4. In this case, since the prospective father has not been tested for HD and only one parent has a family history of the disease, the risk of passing on the gene to offspring is less than 50%. This is because the father may not carry the gene, and if he does, the child still has a 50% chance of inheriting it. Option D correctly conveys the uncertainty of inheritance in this scenario. Option A is incorrect because simply stating that HD is an autosomal dominant disease does not address the specific situation of the couple's inquiry. Option B is incorrect as it inaccurately suggests a 1 in 4 chance for each child, which is not accurate given the information provided. Option C is also incorrect as it oversimplifies the genetic inheritance of HD based on family history alone. In an educational context, it is crucial for nurses to understand and communicate complex genetic concepts accurately to patients. Providing clear and evidence-based explanations about genetic risks can help couples make informed decisions about family planning and genetic testing. Understanding the nuances of genetic inheritance patterns is essential in providing accurate and compassionate care to individuals seeking information about genetic conditions like Huntington's disease.

Correct Answer: C

Rationale: In the context of infertility, it is crucial to prioritize addressing the emotional and psychological needs of the client. In this scenario, the highest priority intervention is option C) Acknowledge the client's anxiety about the possible findings. This is the correct answer because it demonstrates empathy and shows the client that her feelings are valid and important. Assessing the fetal heart rate (option A) may be important for monitoring the baby's well-being, but in this situation, the client's emotional state takes precedence. Checking the client's temperature (option B) is not relevant to the situation at hand and does not address the client's immediate needs. Answering questions regarding the genetic abnormality (option D) is important, but acknowledging and addressing the client's anxiety first creates a supportive environment for effective communication and information sharing. In an educational context, this question highlights the importance of patient-centered care in reproductive health. It emphasizes the significance of addressing the emotional needs of clients undergoing fertility treatments or genetic testing, as their emotional well-being can impact their overall experience and decision-making process. By prioritizing empathy and communication, healthcare providers can build trust and facilitate meaningful interactions with clients facing challenging situations related to infertility and genetic testing.

Correct Answer: C

Rationale: Rationale: The correct answer is option C) If the woman is positive for the gene for Huntington's. This is the correct response because presymptomatic genetic testing for Huntington's disease can indeed identify the presence of the gene associated with the disease before symptoms appear. This allows individuals to make informed decisions about their health and future care planning. Option A) There is no genetic marker for Huntington's disease is incorrect because there is a well-known genetic marker associated with Huntington's disease, known as the HTT gene. Option B) Presymptomatic testing cannot predict whether or not the gene will be expressed is incorrect because presymptomatic testing can indeed predict the presence of the gene before symptoms manifest, although it cannot predict the exact age of onset or severity. Option D) She will develop the disease later in life is incorrect because not everyone who tests positive for the gene will go on to develop the disease. The presence of the gene indicates an increased risk but does not guarantee the development of Huntington's disease. In an educational context, it is crucial for healthcare professionals to have a clear understanding of presymptomatic genetic testing and its implications. By providing accurate information and guidance to individuals considering such testing, nurses can support informed decision-making and promote patient autonomy in managing their health.