Nokea
A nurse is reviewing the medical record of a client who is diagnosed with migraine headaches. The history also reveals that the client has phenylketonuria. Which of the following would the nurse least expect to be prescribed as treatment for the client's migraine headaches? Select all that apply.
- A. Rizatriptan (Maxalt)
- B. Almotriptan (Axert)
- C. Eletriptan (Relpax)
- D. Sumatriptan (Imitrex)
- E. Zolmitriptan (Zomig)
Correct Answer: A,E
Rationale: Rizatriptan (Maxalt) and zolmitriptan (Zomig) are not used as treatment for migraines in a client with phenylketonuria because both medications contain phenylalanine.
You may also like to solve these questions
A nurse is performing discharge teaching for a client who is prescribed ibuprofen. After teaching the client about the possible cardiovascular effects of the drug, the nurse determines that additional teaching is needed when the client states which of the following?
- A. My blood pressure may increase.
- B. My blood pressure won't change.
- C. I could develop congestive heart failure.
- D. I could experience a heart attack.
Correct Answer: B
Rationale: The client should be counseled that NSAIDs including ibuprofen may result in the following cardiovascular effects: increased or decreased blood pressure, congestive heart failure, cardiac arrhythmias, and myocardial infarction.
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.
When describing the properties of ibuprofen to a group of individuals attending a community health promotion presentation, the nurse would integrate knowledge of which of the following? Select all that apply.
- A. Anti-inflammatory
- B. Analgesic
- C. Antipruritic
- D. Antipyretic
- E. Antibacterial
Correct Answer: A,B,D
Rationale: Like the salicylates, the NSAIDS have anti-inflammatory, antipyretic, and analgesic effects. They do not exert antipruritic or antibacterial properties.
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.
Prior to administering an NSAID to a client, the nurse should obtain which of the following? Select all that apply.
- A. History of allergies
- B. Pain assessment
- C. Current medical conditions
- D. Past medical conditions
- E. Vital signs
Correct Answer: A,B,C,D,E
Rationale: Before administering an NSAID, the nurse should obtain a history of allergies and past medical conditions. Other preadministration assessment includes pain, current medical conditions and vital signs.