Xi, a 54-year-old female, has a history of migraines that do not respond well to OTC migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Appropriate decision making would be:
1. Prescribe the Maxalt, but only give her four tablets with no refills to monitor the use.
2. Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose.
3. Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital).
4. Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan.
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The nurse is caring for an 8-year-old child with developmental delays who is unable to tie his shoes. The nurse will plan care to help this child normalize, and will develop which of the following goals?
1. Child will tie his shoes within one week. 2. Child will attempt to tie his shoes each morning when dressing. 3. Child will tie his shoes after process is demonstrated. 4. Child will wear shoes without laces.
Your depressed patient who is taking a tricyclic antidepressant is advised of possible anticholinergic side effects. Which of the following is NOT an anticholinergic side effect?
A. Blurred vision B. Difficulty starting urine stream C. Dry mouth D. Muscle rigidity
To maintain adequate tissue integrity to the lower legs of a patient with peripheral vascular disease, the nurse should encourage the patient to:
A) Use strong soaps to clean the feet. B) Avoid trimming toenails. C) Eat a low-protein diet. D) Wear sturdy, well-fitting shoes.
In developing a standard teaching plan for the outpatient unit where stress testing is performed, the nurse would include information that the
a. test may cause chest pain and may need to be stopped. b. test should not be interrupted for any reason. c. client should attempt to exercise before arriving for the test. d. client's balance must be good for performance of this test.