One year after his divorce, Mike, a 54-year-old white male, began dating and soon met Dana. The couple found that they had a lot in common and enjoyed each other’s company. As the relationship grew,...

One year after his divorce, Mike, a 54-year-old white male, began dating and soon met Dana. The couple found that they had a lot in common and enjoyed each other’s company. As the relationship grew, the couple became more intimate and sexually involved. However, the emotional scars from his previous marriage were painful and deeply affected him. After the divorce, Mike was depressed and had low self-esteem. The condition required short-term hospitalization, and he now follows up on an outpatient basis with a psychiatrist. He has been taking antidepressants and was recently prescribed tadalafil (Cialis) for a diagnosis of ED. Mike also has a past history of HTN and is taking nifedipine (Procardia).

1. What factors in Mike’s life and health history do you think are contributing to the diagnosis of ED?

2. If you were the nurse, what patient education instructions would you provide to Mike regarding administration of tadalafil (Cialis) along with nifedipine (Procardia)?

3. After considering both options, Mike would rather be prescribed sildenafil (Viagra) instead of tadalafil (Cialis). What should the health care provider discuss with Mike about this request?