Question

1. A client is starting sildenafil (Viagra) for the treatment of pulmonary hypertension. The client should be warned that which of these medications could cause a serious reaction if they are taken with sildenafil? (Select all that apply)

nitroglycerin, an antianginal

clopidigrel, and antiplatelet

simvastatin, an antilipemic

CoEnzyme Q, an herbal remedy

doxazosin, an alpha blocker

2.A client presents in the clinic with concerns of having taken his dabigitran (Pradaxa) twice this morning. Realizing that this is a new oral anticoagulant (NOAC), what should the nurse do next? (Select all that apply.)

Seek advice from the physician

Ask the client to share how the overdose happened

Have the client eat a spinach salad

Have the lab check a stat INR

Calm the client by explaining that the medication has a 12 hour half-life

Assess for signs of active bleeding

3.Atenolol (Tenormin) has been prescribed for a client who is recovering from a recent heart attack. The nurse would consult the provider before giving the medicine in which of these situations? (Select all that apply.)

		Pulse 52
		BP 108/86
		Respirations 32 with wheezes
		Blood glucose 50
		Tension headache
		Parkinsonian tremors

Answer 1

1. Sildenafil (Viagra) causes vasodilatation they are contraindicated with nitroglycerin intake, an antianginal and sildenafil cause hypotension when administered with doxazosin, an alpha-blocker or with other hypertensive drugs.

2. When a client presents in the clinic with an overdose of dabigatran (Pradaxa), the nurse should seek advice from the physician, ask the client to share how the overdose happened and have the lab check a stat INR.

3. The nurse should consult the provider before giving Atenolol (Tenormin) if the client has pulse 52, respirations 32 with wheezes and blood glucose level 50.