Question

what teaching should the nurse provide a client who has received a new prescription for sildenafil? (select all that apply.) select all that apply frequent use can lead to the development of hypertension. most effective if taken after at least 6 hours of rem sleep. take within 30 to 60 minutes of sexual stimulation. report rebound priapism that occurs for 4 hours or more. can cause facial flushing and headache.

Explanation:

1. Analyze each option:

• "Frequent use can lead to the development of hypertension": Sildenafil is not associated with causing hypertension; in fact, it can interact with antihypertensives, so this is incorrect.
• "Most effective if taken after at least 6 hours of REM sleep": There's no such requirement related to REM sleep for sildenafil effectiveness, so this is incorrect.
• "Take within 30 to 60 minutes of sexual stimulation": Sildenafil is taken about 30 - 60 minutes before sexual activity, not within that time of stimulation, so this is incorrect.
• "Report rebound priapism that occurs for 4 hours or more": Priapism (prolonged erection) is a serious adverse effect of sildenafil, and if it lasts 4 hours or more, it needs to be reported, so this is correct.
• "Can cause facial flushing and headache": Facial flushing and headache are common side effects of sildenafil, so this is correct.

Answer:

• Report rebound priapism that occurs for 4 hours or more.
• Can cause facial flushing and headache.