Which drugs are used to prevent migraine headaches? (Select all that apply.)

a. Divalproex [Depakote]
b. Amitriptyline [Elavil]
c. Timolol
d. Ergotamine [Ergomar]
e. Acebutolol


A, B, C
Preferred drugs for prophylaxis include propranolol, divalproex, and amitriptyline. Timolol is a beta blocker and can be used instead of propranolol. Acebutolol possesses intrinsic sympatho-mimetic activity and is not effective for migraine prophylaxis. Ergotamine is used for abortive therapy.

Nursing

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The nursing instructor is discussing bronchodilators with a group of nursing students. The students understand the instruction when they identify what drug is most effective in treating acute bronchospasm?

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You are caring for a preoperative patient. You have given the patient a preoperative narcotic and the patient is now requesting to void. What action should you take?

A) Assist the patient to the bathroom. B) Offer the patient a bedpan. C) Wait until the patient gets to the operating room and is catheterized. D) Have the patient go to the bathroom.

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A patient who has taken glucocorticoids for 3 years tells a nurse, "I've lost my job. I don't know how I'm going to support my family and pay all the bills." Which glucocorticoid dosage adjust-ment would the nurse expect?

a. Decreased dosage b. Increased dosage c. Alternate-day dosing d. Double the dose

Nursing

Which of the following is a quality improvement activity in which the LPN/LVN engages routinely?

a. Collecting data for care plan development b. Identifying nursing diagnoses c. Initiating patient teaching about medications d. Evaluating patient goal attainment

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