Jayla is a 9-year-old patient who has been diagnosed with migraines for almost 2 years. She is missing up to a week of school each month. Her headache diary confirms she averages four or five migraines per month
Which of the following would be appropriate?
1. Prescribe amitriptyline (Elavil) daily, start at a low dose and increase dosage slowly every 2 weeks until it's effective in eliminating migraines.
2. Encourage her mother to give her Excedrin Migraine (aspirin, acetaminophen, and caffeine) at the first sign of a headache to abort the headache.
3. Prescribe propranolol (Inderal) to be taken daily for at least 3 months.
4. Explain that it is rare for a 9-year-old child to get migraines and she needs an MRI to rule out a brain tumor.
3
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If 30 mL of solution is ordered every 12 hours, the total dose needed for a week's supply of the medication will be _______________
a. 60 mL b. 84 mL c. 210 mL d. 420 mL
A 37-year-old male patient presents at the emergency department (ED) complaining of nausea and vomiting and severe abdominal pain. The patient's abdomen is rigid, and there is bruising to the patient's flank. The patient's wife states that he was on a drinking binge for the past 2 days. The ED nurse should assist in assessing the patient for what health problem?
A) Severe pancreatitis with possible peritonitis B) Acute cholecystitis C) Chronic pancreatitis D) Acute appendicitis with possible perforation
A patient diagnosed with scleroderma has been prescribed methotrexate (Rheumatrex). Which medication teaching should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Use sunblock when outside. 2. Avoid caffeine. 3. Avoid citrus juices. 4. Do not take aspirin with this drug. 5. Do not use any over-the-counter medication without first checking with the health care provider.
MC In addressing factors that contribute to poverty, homelessness, and the health of the community, the nurse should assess
A. Employment and home environment. B. Lack of affordable housing and social support. C. Mental illness and social support. D. Mobility and age of client.