A patient is being treated for erectile dysfunction. The patient is morbidly obese and is also being tr
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Course
Nurs
Institution
Nurs
Week 7: Quiz
Question 1 1 / 1 pts A patient is being treated for erectile dysfunction. The patient is morbidly obese and is also being treated for a coagulopathy. Which of the following medications would be contraindicated?
Subcutaneous pellet testosterone (Testopel). Topical testosterone (A...
Question 1 pts
A patient is being treated for erectile dysfunction. The patient is morbidly obese and is
also being treated for a coagulopathy. Which of the following medications would be
contraindicated?
Subcutaneous pellet testosterone
(Testopel). Topical testosterone
(AndroGel).
Alprostadil (Caverject).
Sildenafil (Viagra).
The vasoactive injectable alprostadil (Caverject) should not be used in patients with
sickle cell anemia, coagulopathy, severe cardiovascular disease, myeloma, leukemia,
morbid obesity, or penile deformity, fibrosis, or implants.
Question 2 pts
A 32-year-old male appears with a rapid onset of unilateral scrotal pain radiating up to
the groin and flank. The nurse practitioner is trying to differentiate between epididymitis
and testicular torsion.
Which test should be the provider’s first choice?
X-ray.
Physical
examination.
Technetium scan.
Ultrasound.
If your client has a rapid onset of unilateral scrotal pain radiating up to the groin and
flank and you are trying to differentiate between epididymitis and testicular torsion, an
ultrasound is useful for determining whether the swelling is in the testis or the
epididymis and should be your first choice.
Question 3 pts
A 51-year-old male requests a prescription for sildenafil (Viagra). He says that the only
medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has
diabetes which is controlled with diet alone. What should the nurse practitioner tell him?
Correct Answer
“Viagra is contraindicated with isosorbide mononitrate; let’s discuss other
options.” “I’d better refer you to a urologist.”
“Let’s try a sample and see how you do.”
“Because of your history of diabetes, we can’t use it.”
Because sexual stimulation leads to the release of nitric oxide in the corpus cavernosum
of the penis and sildenafil (Viagra) potentiates that release, there is a double
, hypotensive effect between sildenafil and a nitric oxide donor such as isosorbide
mononitrate (Monoket, Imdur, and Ismo). Therefore, the use of sildenafil with Monoket is
contraindicated.
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