A nurse is caring for a client who is postpartum and has a migraine headache. The client has a prescription for ergotamine 2 mg sublingual PRN headache. Which of the following routes of administration should the nurse use?
Under the tongue
Vaginal
Topical
Subcutaneous
The Correct Answer is A
A) Under the tongue: Ergotamine is prescribed for sublingual administration, which means the medication should be placed under the tongue for absorption. Sublingual administration allows the medication to be absorbed directly into the bloodstream through the mucous membranes, bypassing the gastrointestinal system and providing a quicker onset of action.
B) Vaginal: Vaginal administration is not indicated for ergotamine, as this is not a typical route for the medication. Ergotamine is commonly used via sublingual, oral, or rectal routes for migraine treatment, but not vaginally.
C) Topical: Ergotamine is not typically administered topically. The medication is designed for sublingual or oral use, so applying it topically would not provide the intended therapeutic effects for treating a migraine.
D) Subcutaneous: While some medications are administered subcutaneously (under the skin), ergotamine is not commonly given via this route. The prescribed route is sublingual, and administering it subcutaneously would not align with the prescription and could potentially lead to improper absorption and reduced effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.65"]
Explanation
Given:
Prescribed dose: 104 mg of medroxyprogesterone
Available concentration: 104 mg/0.65 mL
Steps to solve:
Concentration is 104 mg/0.65 mL
To administer 104 mg of medroxyprogesterone, the nurse needs to administer exactly 0.65 mL.
Correct Answer is B
Explanation
A) Frequency: The frequency in this prescription is specified as "qhs" (every night at bedtime), which is a standard and appropriate frequency for this type of treatment. There is no issue with the frequency, as it aligns with common treatment regimens for vaginal infections.
B) Route: The prescribed route for clindamycin is vaginal, which is unusual for antibiotics, as they are typically given orally or intravenously. However, clindamycin can be used vaginally for the treatment of infections such as group B streptococcus during pregnancy. The nurse should clarify the route to ensure that this is the intended administration method, especially considering that clindamycin is more commonly prescribed for oral or IV use.
C) Dosage: The dosage of 5 g is appropriate for vaginal clindamycin treatment for group B streptococcus and falls within typical guidelines for this type of therapy. Clindamycin vaginal suppositories or creams are usually dosed in the range of 5 g, making the dosage correct.
D) Medication: Clindamycin is a suitable antibiotic for treating group B streptococcus infections, including when administered vaginally. It is frequently used for such purposes, especially in pregnant women, to prevent neonatal transmission during labor.
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