Main Answer:
The nurse should say, "Sildenafil may cause priapism, which is a prolonged and painful erection."
Therefore, the correct answer is a. 'Sildenafil may cause priapism, which is a prolonged and painful erection.'
Explanation:
The nurse's response emphasizes a critical side effect of sildenafil, specifically priapism. Priapism is a rare but serious condition characterized by a prolonged and painful erection unrelated to sexual stimulation. This potential side effect underscores the importance of proper usage and medical guidance when using sildenafil.
Unlike option B, it is crucial for the nurse to discourage combining sildenafil with nitroglycerin. Nitroglycerin and sildenafil both lower blood pressure, and their concurrent use can lead to a dangerous drop in blood pressure, posing significant health risks.
Additionally, advising the client to take sildenafil on an empty stomach, as suggested in option C, is inaccurate. Sildenafil's effectiveness is not significantly impacted by food intake, and it can be taken with or without food. Providing accurate information ensures the client follows proper guidelines for medication administration.
Contrary to option D, sildenafil is not considered safe for individuals with a history of hypotension. Sildenafil can further lower blood pressure, potentially causing adverse effects. This highlights the importance of thorough patient assessment and the need for the nurse to provide accurate and personalized information based on the client's medical history. In summary, the nurse's recommended statement prioritizes client safety by addressing a significant potential side effect of sildenafil, reinforcing the importance of informed and responsible medication use.
Therefore, the correct answer is a. 'Sildenafil may cause priapism, which is a prolonged and painful erection.'