For which client who experiences migraine headaches is treatment with sumatriptan succinate (Imitrex) contraindicated?
A. 40-year-old with diabetes mellitus
B. 30-year-old with bronchial asthma
C. 50-year-old with Prinzmetal's angina
D. 60-year-old with chronic renal failure
C
Sumatriptan succinate effectively reduces pain and other associated symptoms of migraine by binding to serotonin receptors and triggering cranial vasoconstriction. Vasoconstrictive effects are not confined to the cranium and can cause coronary vasospasm in clients with Prinzmetal's angina.
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A preoperative nurse assesses a client who has type 1 diabetes mellitus prior to a surgical procedure. The client's blood glucose level is 160 mg/dL. Which action should the nurse take?
a. Document the finding in the client's chart. b. Administer a bolus of regular insulin IV. c. Call the surgeon to cancel the procedure. d. Draw blood gases to assess the metabolic state.
After an MI, a patient presents with an increasing frequency of PVCs. The patient's heart rate is 110 beats/min, and ECG indicates a sinus rhythm with up to five unifocal PVCs per minute
Which of the following should be done? The patient is alert and responsive and denies any chest pain or dyspnea. a. Administer lidocaine 100 mg bolus IV push stat. b. Administer Cardizem 20 mg IV push stat. c. Notify the physician and monitor the patient closely. d. Nothing; PVCs are expected in this patient.
According to census data, the divorce rate per 1,000 total population is which of the following?
a. 3.5 c. 11.9 b. 7.1 d. 18.2
Which of the following reimbursement pays at contracted rates?
1. Fee-for-service 2. Federally Qualified Health Center (FQHC) 3. HMO provider 4. Third-party reimbursement