A patient who has migraine headaches without an aura reports difficulty treating the migraines in time because they come on so suddenly. The patient has been using over-the-counter NSAIDs. The primary care NP should prescribe:
a. frovatriptan (Frova).
b. sumatriptan (Imitrex).
c. cyproheptadine (Periactin).
d. dihydroergotamine (D.H.E. 45).
B
If the patient is able to take medication at the earliest onset of migraine, ergots are usually effective. Triptans are more effective when patients have difficulty "catching the headache in time." Sumatriptan begins to work in 15 minutes and so would be indicated for this patient. Frovatriptan has a longer half-life. Cyproheptadine is not a first-line migraine treatment.
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On their first visit to a critically ill patient, family members stand in the doorway of the room, making no effort to approach the patient. What is the most appropriate nursing action?
A) Instruct the family where the patient can be touched and what to say. B) Engage the family in social conversation to ease them into the milieu. C) Use visiting hours to explain to the family the general status of the patient. D) Leave the family to adjust to the situation when they are ready.
A patient taking nonsteroidal anti-inflammatory drugs (NSAIDs) for osteoarthritis is admitted with acute erosive gastritis caused by alcohol ingestion. Which nursing instruction is indicated?
1. "Limit your alcohol intake to one glass of wine with dinner." 2. "Avoid alcohol use while you are taking NSAIDs." 3. "It is important that we find a different method of controlling pain from your arthritis." 4. "In some people, having a couple of drinks can reduce arthritis pain enough that NSAIDs are not necessary."
Broca's area controls:
A) Voluntary movement. B) Comprehension. C) Emotional expression. D) Personality.
After teaching a client about the functions of the kidney, the nurse determines that more teaching is needed when the client states which of the following as a function?
1. Secretion of ions to maintain acid–base balance 2. Production of erythropoietin 3. Synthesis of bile 4. Production of activated form of vitamin D