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 ["30"]
Explanation
Given:
Prescribed dose: 4 mg of loperamide
Available concentration: 1 mg/7.5 mL
Steps to solve:
Determine the volume to be administered:
Set up a proportion to solve for the unknown volume (X):
1 mg/7.5 mL = 4 mg/X mL
Cross-multiplying gives us:
1 mg x X mL = 4 mg x 7.5 mL
Simplifying:
X = 30
Correct Answer is ["400"]
Explanation
Given:
Total volume: 100 mL
Time: 15 minutes
Steps to solve:
Determine the flow rate in mL/min:
Set up a proportion to solve for the unknown flow rate (X):
100 mL/15 min = X mL/1 min
Cross-multiplying gives us:
100 mL x 1 min = 15 min x X mL
Simplifying:
100 = 15X
Solving for X:
X = 100 / 15 = 6.67 mL/min
Convert to mL/hr:
6.67 mL/min x 60 min/hr = 400 mL/hr
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