30 Questions
Which of the following is the most common cancer in men between the ages of 20 and 34 years?
Testicular cancer
What is the recommended time frame for assessing the presence of body image disturbance and sexual dysfunction in men with testicular cancer?
After treatment
Which of the following is a potential adverse effect of sildenafil (Viagra)?
All of the above
Which PDE5 inhibitor has the longest duration of action?
Tadalafil (Cialis)
Which PDE5 inhibitor is available in an oral disintegrating tablet?
Vardenafil (Levitra)
Which PDE5 inhibitor should not be used with other drugs that prolong the QT interval?
Vardenafil (Levitra)
What is the purpose of adjuvant medications in the management of erectile dysfunction?
To reduce venous outflow
Which of the following is NOT a phosphodiesterase type 5 (PDE-5) inhibitor used to treat erectile dysfunction?
Alprostadil
What is the mechanism of action of PDE-5 inhibitors?
Relax smooth muscle in blood vessels
When should PDE-5 inhibitors be taken to be effective in producing an erection?
About 1 hour before sexual activity
What is the duration of an erection produced by PDE-5 inhibitors?
1 to 2 hours
What are the most common side effects of PDE-5 inhibitors?
Headache and flushing
Which of the following medications should NOT be taken together with PDE-5 inhibitors?
Alprostadil
In which patient population should PDE-5 inhibitors be used with caution?
Patients with retinopathy
Which drug is commonly ordered as the first-line treatment for erectile dysfunction (ED)?
Phosphodiesterase Type 5 inhibitors
What is the prototype PDE5 inhibitor?
Sildenafil
How does sildenafil improve erectile function?
By inhibiting the breakdown of cyclic guanosine monophosphate (cGMP)
What is the onset of action for sildenafil?
20 to 60 minutes
What is a potential adverse effect of sildenafil?
Vision loss
What is a contraindication to sildenafil?
Hypersensitivity to the drug
What is an important nursing implication for administering sildenafil?
Monitor for orthostatic hypotension
Which of the following adverse effects is associated with intracavernosal injection of alprostadil?
Burning sensation
What is a potential long-term complication of using alprostadil?
Priapism
In patients concurrently receiving anticoagulants, what caution should be taken when using alprostadil?
Risk of bleeding
Which of the following conditions may increase the risk of priapism when using alprostadil?
Sickle cell anemia
What adverse effect is associated with intraurethral use of alprostadil?
Penile pain
Experts do not recommend concurrent use of alprostadil with other vasoactive agents. Why?
Risk of drug interactions
What medication is prescribed to Mr. Johnson for his erectile dysfunction?
Lisinopril
What is the potential cause of Mr. Johnson's erectile dysfunction?
Obesity
What should the nurse discuss with Mr. Johnson and his wife regarding his medication?
Potential drug interactions
Testicular Cancer and Sexual Function: Assessing the Impact on Body Image and Sexual Dysfunction
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