A prescriber orders naratriptan (Amerge) for a patient's migraine headache. Prior to the administration of this drug, which question(s) would be the most important for the nurse to ask? (Select all that apply.)
a. "Have you ever had a heart attack?"
b. "Do you have a history of urinary frequency?"
c. "Do you use tobacco products?"
d. "How long do you usually sleep at night?"
e. "Do you have high blood pressure?"
ANS: A, C, E
Naratriptan therapy should be avoided in patients with coronary artery disease, as exemplified by a history of heart attack; a history of tobacco use, because of the vasoconstrictive secondary effects of nicotine; or a history of high blood pressure, which can be exacerbated by the vasoconstrictive effects of naratriptan.
A history of urinary frequency would not be significant to the administration of naratriptan.
Sleep patterns, related to amount of sleep, would not be significant to the administration of naratriptan.
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