The patient is scheduled to begin treatment with sumatriptan (Imitrex). Before initiating treat-ment with the drug, the primary care provider should plan to screen the patient for evidence of which of the following conditions?

a. Coronary disease
b. Chronic obstructive pulmonary disease
c. Hypertension
d. Psychiatric disorders


ANS: A
The most life-threatening adverse effects of triptans include myocardial infarction in patients with known coronary disease.

Nursing

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A nurse plans care for a client with Parkinson disease. Which intervention should the nurse include in this client's plan of care?

a. Ambulate the client in the hallway twice a day. b. Ensure a fluid intake of at least 3 liters per day. c. Teach the client pursed-lip breathing techniques. d. Keep the head of the bed at 30 degrees or greater.

Nursing

When performing an intradermal injection, the nurse instills a small amount of substance into the dermis and the injection is not aspirated. One of the uses of this technique is screening for:

a. diabetes. b. tuberculosis. c. hepatitis. d. meningitis.

Nursing

Chvostek's sign and Trousseau's sign are tests to determine:

a. low levels of blood calcium. b. high levels of blood calcium. c. low levels of blood sodium. d. high levels of blood sodium.

Nursing

The nurse is caring for a client with breast cancer and removal of axillary lymph nodes. Which assessment finding is documented and brought to the physician's attention as potential lymphedema?

A) A reddened area around the breast B) Fluid accumulation under in the axilla C) Enlargement of the arm or hand D) Drainage from the areola

Nursing