For which client should the nurse question an order for tramadol?
1. A 35-year-old female with migraine headaches
2. A 60-year-old female with osteoarthritis
3. A 55-year-old male with a history of anxiety disorder
4. A 50-year-old male with a seizure disorder
Correct Answer: 4
Rationale 1: Migraine headaches are not a contraindication for treatment with tramadol.
Rationale 2: Tramadol is not contraindicated in clients over the age of 60 or those with osteoarthritis.
Rationale 3: Tramadol is not contraindicated in clients with anxiety disorders.
Rationale 4: Tramadol can lower the seizure threshold. It must be used with caution in clients with a history of seizure disorder.
Global Rationale: Tramadol can lower the seizure threshold. It must be used with caution in clients with a history of seizure disorder. Migraine headaches are not a contraindication for treatment with tramadol. Tramadol is not contraindicated in clients over the age of 60, those with osteoarthritis, or those with anxiety disorders.
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