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A nurse in an outpatient clinic is caring for a client.

Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication

"Do not take more than 200 milligrams of this medication within 24 hours.”

"You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists.”

"You should discontinue this medication if pregnancy is planned or suspected.”

"You might experience a rash on your skin while taking this medication."

"You might experience a feeling of pressure in your chest after taking this medication."

"This medication can cause you to feel tired."

"This medication should start to alleviate the headache within 1 hour."

Answer and Explanation

Correct Answer : A,B,C,E,F,G

A. "Do not take more than 200 milligrams of this medication within 24 hours." This statement is correct for oral sumatriptan, which has a maximum recommended dose of 200 mg per 24 hours. Clients can take one 50 mg or 100 mg dose initially, and if the headache persists, a second dose can be taken after at least 2 hours, provided the total daily dose does not exceed 200 mg.

B. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists." A second dose of sumatriptan can be taken at least 2 hours after the first dose if the headache has not fully resolved. However, if the headache persists after the maximum daily dose (200 mg), the client should not take additional doses and should seek medical evaluation.

C. "You should discontinue this medication if pregnancy is planned or suspected." Sumatriptan is classified as Pregnancy Category C, meaning its effects on fetal development are not well studied. Clients who are pregnant or planning to conceive should consult their healthcare provider before using this medication.

D. "You might experience a rash on your skin while taking this medication." Skin rash is not a common side effect of sumatriptan. If a rash develops, it could indicate an allergic reaction, which should be reported to a provider. However, routine monitoring for rashes is not necessary when taking sumatriptan.

E. "You might experience a feeling of pressure in your chest after taking this medication." Chest tightness or pressure is a known side effect of sumatriptan due to its vasoconstrictive effects. This sensation is usually temporary and not dangerous, but if it becomes severe or persistent, the client should seek medical attention to rule out cardiovascular complications.

F. "This medication can cause you to feel tired." Fatigue, drowsiness, and dizziness are common side effects of sumatriptan. Clients should be cautious when driving or operating machinery until they know how the medication affects them.

G. "This medication should start to alleviate the headache within 1 hour." Sumatriptan typically begins to relieve migraine symptoms within 30 to 60 minutes when taken orally. If the headache does not improve after 2 hours, a second dose may be taken, but the total daily dose should not exceed 200 mg.

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Correct Answer is B

Explanation

A. Jaundice. Jaundice, or yellowing of the skin and eyes, is a sign of liver dysfunction and may indicate hepatotoxicity rather than an allergic reaction. Some medications can cause drug-induced liver injury (DILI), but jaundice is not a typical symptom of an immediate hypersensitivity reaction.

B. Urticaria. Urticaria (hives) is a classic allergic reaction that appears as raised, red, itchy welts on the skin. It occurs due to the release of histamine in response to an allergen, which increases capillary permeability and leads to swelling and itching. Urticaria may be accompanied by angioedema, respiratory distress, or anaphylaxis, requiring immediate intervention if severe.

C. Bradycardia. Bradycardia (slow heart rate) is not a typical manifestation of an allergic reaction. While anaphylaxis can cause hypotension and tachycardia due to systemic vasodilation, bradycardia is more commonly associated with beta-blockers, heart block, or vagal stimulation rather than an allergic response.

D. Hypertension. Allergic reactions, especially severe ones like anaphylaxis, typically cause vasodilation and hypotension, not hypertension. While stress or anxiety related to an allergic episode may lead to a temporary rise in blood pressure, persistent hypertension is not a direct sign of an allergic reaction.

A. Tingling sensation B. Hypertension C. Dizziness D. Flushing

Correct Answer is B

Explanation

A. Tingling sensation. A mild tingling or paresthesia is a common side effect of sumatriptan due to its vasoconstrictive action. While it should be monitored, it is not typically harmful and does not require immediate medical intervention.

B. Hypertension. Sumatriptan works by constricting blood vessels to relieve migraine symptoms, but it can also cause a dangerous increase in blood pressure. Severe hypertension can lead to complications such as stroke or myocardial infarction. This is the priority finding that requires immediate reporting to prevent life-threatening cardiovascular events.

C. Dizziness. Dizziness can occur due to sumatriptan’s vasoconstrictive properties or from the migraine itself. While it can be uncomfortable, it is not an immediate threat to the client’s safety unless it is severe or associated with other neurological symptoms.

D. Flushing. Facial flushing is a known side effect of sumatriptan and is generally harmless. It occurs due to transient vasodilation in the skin and does not indicate a serious adverse reaction. Monitoring is appropriate, but it does not require urgent intervention.

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Body System	Findings
Vital Signs/General History	Temperature 36.4° C (97.6° F), oral Heart rate 75/min Respiratory rate 16/min Blood pressure 100/74mm Hg Oxygen saturation 99% on room air Client is a vegetarian and takes a multivitamin daily Client reports having three to four alcoholic beverages a couple times per week
Integumentary	Skin color is consistent with genetic background. No rashes or lesions. The client varicose veins.
Cardiovascular/ Respiratory	S1 S2 auscultated. No murmurs. All peripheral pulses 2+ Lung sounds clear bilaterally
Gastrointestinal/Genitourinary	Abdomen soft, nontender. Normoactive bowel sounds in all 4 quadrants. Last bowel movement was 3 days ago. Voids four to five times a day. Urine is clear, yellow, and odourless. Last menstrual period was 3 months ago
Neurologic/Musculoskeletal	Alert and oriented to person, place, and time. Client takes diazepam as needed for anxiety. Client has full range of motion and is able to maintain flexion against resistance in all four extremities

A nurse in an outpatient clinic is caring for a client. Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client following the administration of a new medication. Which of the following findings should the nurse identify as a manifestation of an allergic reaction?

Correct Answer is B

Explanation

A nurse in a provider's office is collecting data from a client who continues to have a migraine headache after taking sumatriptan orally 2 hr ago. Which of the following findings is the priority for the nurse to report?

Correct Answer is B

Explanation

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A nurse in an outpatient clinic is caring for a client.

Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication