NR 511 Week 7 Quiz (VERSION 1)/ 100% CORRECT Answers.
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Course
NR 511
Institution
Chamberlain College Of Nursing
Question: 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 What should the nurse practitioner tell him? Question: A 15-year-old male c...
question 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
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NR 511 Week 7 Quiz
Question 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?
“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.”
Correct!
“Viagra is contraindicated with isosorbide mononitrate; let’s discuss other options.”
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.
Question 2
pts
A 15-year-old male comes to the clinic in acute distress with “belly pain.” When obtaining his history, the
nurse practitioner (NP) finds that he fell off his bike this morning and has vomited. Upon closer
examination, the NP determines the belly pain to be left-sided groin pain or pain in his left testicle. He is
afebrile and reports no dysuria. Which of the following diagnoses is most likely?
Hydrocele.
Epididymitis.
Correct!
, Testicular torsion.
Varicocele.
Testicular torsion is a condition in which the testis twists on the spermatic cord, thereby compromising
blood flow to the testicle. This is a surgical emergency. Examination usually reveals a tender scrotal mass
high in the hemiscrotum, and there is frequently a reactive hydrocele around the testis, obscuring
anatomical detail. The scrotum can become erythematous and edematous. The cremasteric reflex is
frequently blunted on the side of the torsion.
Question 3
pts
A 72-year-old unmarried, sexually active man, presents to the clinic with complaints of hesitancy,
urgency, and occasional uncontrolled dribbling. Although the nurse practitioner suspects benign
prostatic hyperplasia, what else should the differential diagnosis include?
Antihistamine use.
Renal calculi.
Detrusor hyperreflexia.
Correct!
Urethral stricture.
Urethral strictures may develop as a result of sexually transmitted diseases and should be considered in
sexually active individuals (primarily males) no matter their age. Antihistamine use generally will result in
hesitancy and urinary retention but not incontinence.
Question 4
pts
A patient’s chief complaint is pain and heaviness in the scrotum. The nurse practitioner notes swelling of
the testes, along with warm scrotal skin. Which of the following diagnoses is most probable?
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