Nokea
A client is prescribed frovatriptan. Which of the following would the nurse expect to include in the client's teaching plan? Select all that apply.
- A. Frovatriptan is used to prevent migraines.
- B. Frovatriptan should be administered at the earliest onset of migraine symptoms.
- C. Frovatriptan will decrease the number of migraine headaches experienced.
- D. No more than two doses of the drug should be used in a 24-hour period.
- E. The dose of frovatriptan may be repeated every hour until symptoms subside.
Correct Answer: B,D
Rationale: Frovatriptan does not prevent migraines or reduce the number of migraines. If should be taken at the earliest onset of migraine symptoms and the dose may be repeated one time after 1 hour if no relief is obtained. The client should never take more than two doses of frovatriptan in a 24-hour period.
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A nurse is providing care to a client who is receiving NSAIDs. The nurse would be especially alert for which of the following? Select all that apply.
- A. Oliguria
- B. Dysuria
- C. Hematuria
- D. Glucosuria
- E. Polyuria
Correct Answer: A,B,C,E
Rationale: Clients receiving NSAIDs should be monitored for the following renal adverse effects: polyuria, dysuria, oliguria, hematuria, eystitis, elevated BUN, and acute renal failure.
A nurse caring for a client who is receiving an NSAID for fever reduction documents a decrease in urinary output for the patient. Which of the following would the nurse most likely determine as the reason for the patient's condition?
- A. Prolonged immobility
- B. Reduced intake of fibrous food
- C. Intake of food with antacids
- D. Prolonged temperature elevation
Correct Answer: D
Rationale: If temperature elevation is prolonged while on NSAID therapy, hot, dry, flushed skin and a decrease in urinary output may develop; consequently, dehydration can occur. Prolonged immobility, reduced intake of fibrous food, and intake of food with antacids do not cause a decrease in urinary output.
A nurse is assessing a client's pain. When reporting the assessment findings to the primary health care provider to ensure the proper prescription for analgesic therapy for effective pain management, which of the following would be most important for the nurse to report? Select all that apply.
- A. Duration
- B. Aggravating factors
- C. Location
- D. Remitting factors
- E. Intensity
Correct Answer: C,E
Rationale: Although duration, aggravating and remitting factors, location, and intensity are important to assess, to ensure that the primary health care provider prescribes effective analgesics for pain management, the nurse needs to report two key assessments about pain: location and intensity.
The nurse would question an order for a selective serotonin agonist as treatment for a migraine headache for a client with which condition? Select all that apply.
- A. Diabetes
- B. Uncontrolled hypertension
- C. Angina
- D. Hyperlipidemia
- E. Transient ischemic attacks
Correct Answer: B,C,E
Rationale: 5-HT agonists should not be used in patients with ischemic heart disease (such as angina or myocardial infarction), transient ischemic attacks (TIA), uncontrolled hypertension, or those patients taking monoamine oxidase inhibitor (MAOI) antidepressants.
A client who is receiving ibuprofen asks the nurse, 'What should I take the drug with?' Which of the following would the nurse suggest in the response? Select all that apply.
- A. Milk
- B. Orange juice
- C. Food
- D. Clear liquids
- E. Antacids
Correct Answer: A,C,E
Rationale: The nurse should advise the patient to take ibuprofen (Motrin) with food, milk, or antacids.