Question 1

The nurse would assess for which of the following frequently occurring adverse effects in a client during phenothiazine therapy?&#10;A) Increased libido&#10;B) Prolonged amenorrhea&#10;C) Induced lactation&#10;D) Delayed ovulation&#10;

Accepted Answer

Phenothiazine therapy can cause prolonged amenorrhea (absence of menstrual periods) in some clients. It does not usually cause increased libido, induced lactation, or delayed ovulation.

Question 2

Which of the following drugs that can be used for erectile dysfunction can also be used to temporarily control patent ductus arteriosus in neonates?&#10;A) Sildenafil&#10;B) Tadalafil&#10;C) Vardenafil&#10;D) Alprostadil&#10;

Accepted Answer

Alprostadil is a prostaglandin E1 analog that causes vasodilation and is used to maintain the patency of ductus arteriosus in neonates until surgical correction can be performed. It also has vasodilatory effects on smooth muscle in the corpus cavernosum, leading to an erection in patients with erectile dysfunction. Sildenafil, tadalafil, and vardenafil are phosphodiesterase inhibitors primarily used for erectile dysfunction and have no effect on patent ductus arteriosus.

Question 3

The nurse expects that a male client who has started drug therapy with sildenafil (Viagra)is experiencing which of the following health problems?&#10;A) Decreased libido&#10;B) Low sperm count&#10;C) Erectile dysfunction&#10;D) Gynecomastia&#10;

Accepted Answer

Sildenafil (Viagra) is a drug commonly used to treat erectile dysfunction in males. It works by increasing blood flow to the penis, resulting in an erection. It does not affect libido, sperm count, or cause gynecomastia.

Question 4

The nurse providing medication teaching for a client beginning drug therapy with sildenafil (Viagra)tells the client to take a dose approximately how long before sexual activity is anticipated?&#10;A) 15 Minutes&#10;B) 30 Minutes&#10;C) 1 Hour&#10;D) 2 Hours&#10;

Accepted Answer

The client should take sildenafil approximately 1 hour before sexual activity for optimal effectiveness. Sildenafil reaches peak plasma concentration within 30 to 120 minutes after administration, with most men experiencing the maximum effectiveness at around 1 hour.

Question 5

The nurse assesses the client who has been on long-term therapy with ranitidine (Zantac)for which of the following adverse effects?&#10;A) Seizures&#10;B) Decreased lactation&#10;C) Lower testosterone levels&#10;D) Gynecomastia&#10;

Accepted Answer

Long-term therapy with ranitidine (Zantac) can result in gynecomastia, which is the development of breast tissue in males due to increased prolactin levels.

Question 6

The nurse would place highest priority on assessing the client taking which diuretic,who is most at risk for sexual dysfunction as an adverse medication effect?&#10;A) Spironolactone (Aldactone)&#10;B) Furosemide (Lasix)&#10;C) Ethacrynic acid (Edecrin)&#10;D) Mannitol (Osmitrol)&#10;

Accepted Answer

Spironolactone is a potassium-sparing diuretic with antiandrogenic effects, which can lead to sexual dysfunction in males, such as decreased libido and erectile dysfunction. Therefore, the nurse would place the highest priority on assessing a client taking spironolactone who is most at risk for sexual dysfunction as an adverse medication effect.

Question 7

The nurse would question an order for sildenafil (Viagra)for a client who is taking which of the following types of drugs?&#10;A) Dietary nitrites&#10;B) Organic nitrates&#10;C) Organophosphates&#10;D) Nitrogen mustard&#10;

Accepted Answer

Organic nitrates, commonly used to treat angina, can cause a dangerous drop in blood pressure when combined with sildenafil, which could result in a life-threatening situation. Therefore, the nurse should question the order. Dietary nitrites are not contraindicated with sildenafil. Organophosphates and nitrogen mustard are not related to the use of sildenafil.

Question 8

The clinic nurse who works with young adults explains that ethyl alcohol has which of the following effects on human sexual function?&#10;A) It increases the sexual drive&#10;B) It decreases inhibition&#10;C) It increased ejaculation&#10;D) It increases the enjoyment of sexual activities&#10;

Accepted Answer

Ethyl alcohol is a central nervous system depressant that decreases inhibition, which can result in greater sexual curiosity, sexual exploration, or sexual activity. However, excessive alcohol consumption can lead to impaired sexual function, such as difficulty achieving and maintaining an erection in men or difficulty with sexual arousal and orgasm in women. Alcohol may also decrease the quality of sexual experiences, as it may dull both physical and emotional sensations. Therefore, it is important to consume alcohol in moderation to reduce negative sexual consequences.

Question 9

The nurse would not need to include sexual dysfunction as an adverse drug effect when teaching a client with depression about which of the following antidepressant medications?&#10;A) Amitriptyline (Elavil)&#10;B) Fluoxetine (Prozac)&#10;C) Bupropion (Wellbutrin)&#10;D) Phenelzine (Nardil)&#10;

Accepted Answer

Bupropion (Wellbutrin) is less likely to cause sexual dysfunction compared to other antidepressant medications. Amitriptyline (Elavil), Fluoxetine (Prozac), and Phenelzine (Nardil) are known to cause sexual dysfunction as an adverse effect.

Question 10

A client will be started on drug therapy with chlorpromazine (Thorazine).The nurse provides anticipatory teaching about sexual dysfunction as an adverse effect that stems from which of the following?&#10;A) Decreased libido&#10;B) Decreased ejaculation&#10;C) Impotence&#10;D) A variety of physiologic mechanisms&#10;

Accepted Answer

Sexual dysfunction as an adverse effect of chlorpromazine (Thorazine) can stem from a variety of physiologic mechanisms, including decreased libido, decreased ejaculation, and impotence.

Question 11

The school nurse overhears a small group of students discussing marijuana as a sexual stimulant.The nurse gently advises the students that which fact about marijuana is true?&#10;A) It does act physiologically as a sexual stimulant.&#10;B) It can increase sperm production and erectile function.&#10;C) Its effect varies depending on the expectations of the user.&#10;D) It is a sexual stimulant only with long-term use.&#10;

Accepted Answer

The answer of The school nurse overhears a small group...

Question 12

The nurse tells a client that the use of tadalafil (Cialis)would be contraindicated if that client was also using which of the following medications?&#10;A) Famotidine (Pepcid)&#10;B) Nitroglycerin (Nitrobid)&#10;C) Ibuprofen (Motrin)&#10;D) Furosemide (Lasix)&#10;

Accepted Answer

The answer of The nurse tells a client that the...

Question 13

In men,ejaculation is caused by&#10;A) adrenergic blocking.&#10;B) sympathetic stimulation.&#10;C) parasympathetic excitation.&#10;D) testosterone levels.&#10;

Accepted Answer

The answer of In men,ejaculation is caused by&#10;A) adrenergic blocking.&#10;B)...

Question 14

The nurse who works with hypertensive clients concludes that the client taking which of the following antihypertensive drugs is at lowest risk for experiencing sexual dysfunction as an adverse drug effect?

A) Propranolol (Inderal)
B) Lisinopril (Prinivil)
C) Diltiazem (Cardizem)
D) Methyldopa (Aldomet)

Accepted Answer

The answer of The nurse who works with hypertensive clients...

Question 15

The nurse notes during a medication history that a client has been taking diphenhydramine (Benadryl)as a sleep aid for a prolonged period.The nurse then asks whether the client has had which adverse effect associated with long-term use?

A) Dry mouth
B) Urinary retention
C) Constipation
D) Sexual dysfunction

Accepted Answer

The answer of The nurse notes during a medication history...

Deck 54: Drugs Affecting Sexual Behavior