2021-WK 7 Quiz|Elaborated| NR-511 Differential Diagnosis & Primary Care Practicum Evidence-based Physical Diagnosis,

NR-511 Differential Diagnosis & Primary Care Practicum-WK 7 QUIZNursingnr511Question 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 (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 1 / 1 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 0 / 1 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.