Nokea
The nurse is preparing to administer sumatriptan to a client with a migraine headache. Which of the following findings would require follow-up prior to administering the medication?
- A. BMI of 34 kg/m recorded during today's examination
- B. past medical history of uncontrolled hypertension
- C. takes alprazolam as prescribed for anxiety
- D. BUN of 12 mg/dL (4.28 mmol/L)
Correct Answer: B
Rationale: Sumatriptan is contraindicated in uncontrolled hypertension due to the risk of cardiovascular events.
You may also like to solve these questions
The nurse makes a home visit to a client with Alzheimer disease. While reviewing the client's home care needs, the client's spouse states, 'It's hard to see my spouse worsen each day. I'm not sure I can keep doing this alone anymore.' Which response by the nurse is best?
- A. Perhaps finding a caregiver to care for your spouse at night might be helpful.
- B. Tell me about the care you provide in a typical day and its challenges.
- C. Try not to worry. It's normal to feel overwhelmed when you are stressed.
- D. You seem worried that you won't be able to provide the care that your spouse needs.
Correct Answer: B
Rationale: Exploring the spouse's daily challenges encourages open communication and helps identify specific support needs.
A 4-year-old is brought to the emergency department after ingesting an unknown number of aspirin pills. The child is sniffling and crying quietly. The practical nurse anticipates initially assisting with the implementation of which treatment?
- A. Activated charcoal
- B. Gastric lavage
- C. Sodium bicarbonate
- D. Syrup of ipecac
Correct Answer: A
Rationale: Activated charcoal is the initial treatment for aspirin ingestion to prevent absorption, if within 1-2 hours.
An 8-year-old child is admitted to the hospital with pneumonia. The child has had frequent respiratory infections. A chloride sweat test is ordered. The nurse knows that the reason for this test is to rule out which condition?
- A. Pernicious anemia
- B. Diabetes insipidus
- C. Cystic fibrosis
- D. Glomerulonephritis
Correct Answer: C
Rationale: Frequent respiratory infections and pneumonia suggest cystic fibrosis, diagnosed via chloride sweat test, which detects elevated sweat chloride levels.
An adolescent client is admitted in respiratory alkalosis following aspirin overdose. The nurse recognizes that this imbalance was caused by
- A. Tachypnea
- B. Acidic byproducts
- C. Aspirin poisoning and dehydration
- D. Hyperpyrexia
Correct Answer: A
Rationale: Tachypnea. Stimulation of respiratory center leads to hyperventilation, thus decreasing CO2 levels which causes respiratory alkalosis.
The nurse is offering safety instructions to a parent with a four month-old infant and a four year-old child. Which statement by the parent indicates understanding of appropriate precautions to take with the children?
- A. I strap the infant car seat on the front seat to face backwards.'
- B. I place my infant in the middle of the living room floor on a blanket to play with my four year-old while I make supper in the kitchen.'
- C. My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while the four year-old naps on the sofa.'
- D. I have the four year-old hold and help feed the four month-old a bottle in the kitchen while I make supper.'
Correct Answer: D
Rationale: The infant seat is to be placed on the rear seat. Small children and infants are not to be left unsupervised. Option D indicates supervision and age-appropriate responsibility.