1. A client is starting sildenafil (Viagra) for the treatment of pulmonary hyper
ID: 246414 • Letter: 1
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
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
Explanation / Answer
1- The client should be warned of these following medications as they could cause serious reactions if taken with sildenafil.
Clopidigrel, doxazosin,nitroglycerine
2- If client has taken pradaxa twice dose at the same time
Nurse should -seek advice from physician
-have labcheck at stat INR
3- Atenolol has been prescribed for client who is recovering from recent heart attack.Nurse consult the provider in all following situations before giving medicine
-pulse, bloodpressure,blood glucose,respiration,parkinson tremors,headache.
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