A patient who has migraine headaches takes sumatriptan as abortive therapy

The patient tells the primary care nurse practitioner (NP) that the sumatriptan is effective for stopping symptoms but that the episodes are occurring three to four times per month. The NP should consider the addition of: a. aspirin.
b. topiramate.
c. ergotamine.
d. opioid analgesics.


B
Topiramate is an anticonvulsant agent that is approved as a preventive medication for migraines. The other medications are indicated for abortive therapy.

Nursing

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An emergency room nurse assesses a client after a motor vehicle crash and notes ecchymotic areas across the client's lower abdomen. Which action should the nurse take first?

a. Measure the client's abdominal girth. b. Assess for abdominal guarding or rigidity. c. Check the client's hemoglobin and hematocrit. d. Obtain the client's complete health history.

Nursing

The nurse is educating the parents of a 7-year-old girl who has just been diagnosed with epilepsy. Which of the following teaching techniques would be most appropriate?

A) Assessing the parents' knowledge of the anticonvulsant medications B) Demonstrating proper seizure safety procedures C) Discussing the surgical procedure for epilepsy D) Giving the parents information in small amounts at a time

Nursing

The nurse is teaching the parents of a child with a hematologic disorder about the functions of the various blood cells

The nurse determines that the teaching was successful when the parents state which blood cell as being primarily responsible for blood clotting? A) Granulocytes B) Erythrocytes C) Thrombocytes D) Leukocytes

Nursing

When the nurse is giving instructions for discharge, he notices that the television is on and he is eating a meal. The best thing for the nurse to do to ensure that the patient's discharge teaching is understood is to:

a. Review all important discharge teaching while in the room b. Ask whether the patient has any questions about the discharge c. Inform the patient that the instructions are on the discharge sheet d. Arrange another time with the patient to review the discharge teaching

Nursing