A patient who has recurrent migraine headaches is prescribed sumatriptan [Imitrex]. Which aspect of this patient's history is of concern when taking this drug?
a. Asthma
b. Coronary artery disease
c. Diabetes
d. Renal disease
B
Serotonin receptor agonists can cause vasoconstriction and coronary vasospasm and should not be given to patients with coronary artery disease, current symptoms of angina, or uncontrolled hypertension. There is no contraindication for asthma, diabetes, or renal disease.
You might also like to view...
A 14-year-old girl asks the school nurse why her periods are so irregular. What is the best response by the nurse?
A. "All young girls have irregular periods." B. "Don't worry; this is totally normal." C. "Estrogen levels are still pretty low." D. "You should be seen by your physician."
A patient has recently been diagnosed with diabetes. The patient is clinically obese and is sedentary. How can the nurse best ensure potential success to increase activity in this patient?
A) Set up appointment times at a local fitness center for the patient to attend B) Have a family member ensure the patient follows a suggested exercise plan C) Construct an exercise program and have the patient follow it D) Identify barriers with the patient that will inhibit change
A client with scabies has been prescribed a medication that should be rinsed from the body within 10 minutes after being applied. What medication does the nurse anticipate has been prescribed for this client?
1. Pyrethrin (RID) 2. Malathion (Ovide) 3. Crotamiton (Eurax) 4. Permethrin (Nix)
Wearing gloves, the nurse grasps the client's tongue with a gauze pad and palpates a small, firm nodule on the left side of the tongue. Based upon this finding, the nurse should:
a. Document that the client's tongue is normal on palpation. b. Palpate the tongue again without wearing gloves. c. Ask the client to move the tongue in all directions. d. Palpate cervical and submental lymph nodes for enlargement.