Nokea
The nurse is caring for the client who has received sumatriptan. The nurse evaluates that sumatriptan has been an effective treatment when the client reports which change?
- A. An improvement in mood
- B. A decrease in muscle spasms
- C. An increased ability to fall asleep
- D. Relief of migraine headache attacks
Correct Answer: D
Rationale: A: Sumatriptan is not used in the treatment of mood alterations. B: Sumatriptan is not used in the treatment of muscle spasms. C: Sumatriptan is not used in the treatment of insomnia. D: Sumatriptan (Imitrex) is a serotonin receptor agonist and a first-line medication for terminating a migraine or cluster headache attack.
You may also like to solve these questions
A client asks a nurse working in a dental office what type of drug the dentist uses to provide anesthesia during the extraction of the client's wisdom teeth. The dentist uses an anesthetic gas, also known as laughing gas. This agent is:
- A. nitrous oxide.
- B. nitrogen.
- C. nitric oxide.
- D. nitrogen dioxide.
Correct Answer: A
Rationale: Nitrous oxide produces analgesia and is often used for minor surgery and dental procedures that do not require loss of consciousness. It can also produce a mild euphoria in some clients.
The LPN is caring for a 9 month-old infant. Which of these behaviors exhibited by the child warrants further investigation?
- A. She prefers crawling and is making no attempt to walk.
- B. She seems distressed with new adults.
- C. She does not respond to her own name.
- D. She only babbles "mama" and "dada."
Correct Answer: C
Rationale: By 9 months, children should be babbling simple words and crawling, and they should recognize and respond to their own name. They may begin attempting to walk or may just be starting to attempt to pull themselves up to stand. Strangers often produce fear or anxiety in infants this age.
The parent of the adolescent taking chlordiazepoxide for the past 2 months telephones the nurse requesting to have the dose increased. The parent states, “Chlordiazepoxide is being given as directed, but my child's anxiety is increasing.†Which should be the nurse's best interpretation of this situation?
- A. The client may be developing tolerance to chlordiazepoxide and needs the dose reevaluated.
- B. The client may be skipping drug doses when not anxious and now needs the dose doubled.
- C. The client is becoming resistant to the drug effects, and an alternative medication is needed.
- D. The client's anxiety may be hormone-related, and larger doses of chlordiazepoxide are needed.
Correct Answer: A
Rationale: The client is describing tolerance, a sign of dependence, to chlordiazepoxide (Librium), and the dose needs reevaluation.
The LPN has been asked to help a client taking Risperdal with activities of daily living in the morning. Which of these tasks is most likely to be potentially impacted by this medication?
- A. eating breakfast
- B. drinking fluids
- C. getting out of bed to use the bathroom
- D. brushing teeth
Correct Answer: C
Rationale: Risperdal can cause orthostatic hypotension, so, to prevent a fall, care should be taken when changing positions.
High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
- A. the inability of the kidneys to excrete the drug metabolites
- B. rapid cell catabolism
- C. toxic effects of the prophylactic antibiotics that are given concurrently
- D. the altered blood pH from the acid medium of the drugs
Correct Answer: B
Rationale: Chemotherapy causes rapid cell destruction, releasing uric acid as a metabolite, which can elevate levels and risk conditions like gout or kidney stones.