NR 511 Week 7 Quiz – Chamberlain College of
Nursing | NR511 Week 7 Quiz – (A graded)
Question 1 1 / 1 pts
A patient is being treated for erectile
... [Show More] 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.
Question 6
1 / 1 pts
Question 4 1 / 1 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.
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 5 1 / 1 pts
A 54-year-old male is complaining of erectile dysfunction. He also has a condition that has reduced
arterial blood flow to his penis. The most common cause of this condition is:
Diabetes mellitus.
Multiple sclerosis.
Parkinson disease.
Epilepsy [Show Less]