A 47-year-old woman experiences occasional migraine with aura and reports partial relief with zolmitriptan. You decide to add which of the following to augment the pain control by the triptan?
A. lamotrigine
B. gabapentin
C. naproxen sodium
D. magnesium
Answer: C. naproxen sodium
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A client who has a heart murmur due to vegetative growth on the leaflets of the heart valves asks the nurse what caused this condition. The best reply is:
1. "Alcohol and nicotine abuse use over many years." 2. "A residual virus following a bout of childhood chickenpox." 3. "Strep throat or respiratory infection, resulting in rheumatic fever." 4. "Uncontrolled triglycerides and cholesterol."
Computerized charting will be initiated on select units of the hospital. Orientation to this new system will be provided to each nurse by a team of nurses educated in nursing informatics. This is an example of which type of change strategy?
1. Normative-reeducative strategies 2. Lippitt's phases 3. Empirical-rational model 4. Power-coercive strategies
Which of the following nursing interventions should a nurse perform to promote the dignity and self-esteem of a dying client?
A) Communicate hopefulness. B) Keep the client clean and well groomed. C) Share emotional pain. D) Help the client live according to his or her wishes.
The nurse teaches the client progressive self-relaxation techniques. Which should the nurse implement first?
1. Direct the client to envision sailing on a sailboat. 2. Instruct client to increase respiratory rate and depth. 3. Establish client's ability to understand and cooperate. 4. Darken the client's room significantly and close door.