A patient who is diagnosed with migraine headaches has a history of cardiovascular disease and hypertension. The NP should prescribe:
a. triptan nasal spray.
b. rizatriptan (Maxalt).
c. cyproheptadine (Periactin).
d. dihydroergotamine (D.H.E. 45).
C
Triptans and ergotamines are contraindicated in patients with cardiovascular disease or hypertension. Cyproheptadine is safe for these patients.
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A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Nasal congestion 2. Wheezing 3. Watery eyes 4. Sneezing 5. Urticaria
A patient who is prescribed glyburide (DiaBeta) asks if having a glass of wine once a week is okay. What is the nurse's best response?
a. "Insulin activity is dramatically reduced under the influence of alcohol, and drinking even one glass of wine will increase your insulin requirements." b. "Diabetes reduces your kidney function, so you should avoid ingesting alcohol in all forms at all times." c. "You should not drink any alcohol as it is likely to increase your sense of hunger and make you overeat." d. "One glass of wine can be ingested with a meal on occasion and cause no problems."
You have been providing culturally competent care to a client at a mental health clinic for several years. The client has responded well to the current treatment program
You observe a student nurse greet this client in the clinic waiting room by the client's first name. When the client starts to walk in the wrong direction, you observe the student nurse's attempt to physically guide the client by touch. The client reacts by flailing the arms and pushing the student nurse away. You help the student nurse to identify the most likely areas that produced miscommunication during this interaction as all EXCEPT which of the following? a. proxemics b. formal style of interaction c. use of the client's first name d. ethnocentric behavior of the student nurse
All nurses face the same situations, challenges, stress, and fatigue when on the job. Education is recognized as one of the elements that can help prevent and recognize substance abuse
What has been recognized as an untapped source that may be able to help? A) Teach self-care strategies to help nurses cope B) Offer special incentives to encourage nurses to avoid substance abuse C) Offer yoga classes after work to help nurse to distress before going home D) Provide the nurse with safe alternates such as power drinks and snacks while on the job