An adult client with a history of obesity, asthma, peripheral vascular disease, and migraine headaches tells the nurse she saw an advertisement in a magazine for a drug for migraine headaches:
"The drug was Imitrex; it looked very effective, and I wonder why my provider hasn't talked to me about using it for my headaches." What is the nurse's best response to this question about sumatriptan (Imitrex)?
1. "Your peripheral vascular disease is a contraindication for the drug."
2. "You have asthma, so you cannot use the drug."
3. "I think it will be good for you. Bring in the ad."
4. "Once you lose some weight, the drug will be perfect for you."
Correct Answer: 1
Rationale 1: Sumatriptan (Imitrex) is contraindicated in clients with peripheral vascular disease, CAD, and cerebrovascular disease due to the risk of myocardial infarction.
Rationale 2: Clients with asthma can safety use sumatriptan.
Rationale 3: The drug is not ideal for this client due to her health history.
Rationale 4: Obesity is not a contraindication for sumatriptan.
Global Rationale: Sumatriptan (Imitrex) is contraindicated in clients with peripheral vascular disease, CAD, and cerebrovascular disease due to the risk of myocardial infarction. Clients with asthma can safety use sumatriptan. The drug is not ideal for this client due to her health history. Obesity is not a contraindication for sumatriptan.
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