A nurse is caring for a patient with a recent history of migraines.
What aspect of this patient’s current status may contraindicate the safe use of triptans?

The patient has angina

The patient has a history of asthma

The patient is 75 years old

The patient’s migraines are associated with psychosocial stress

Answer and Explanation

The Correct Answer is A

Choice A rationale
Triptans, a class of medications commonly used to treat migraines, can cause vasoconstriction, or narrowing of the blood vessels. This can be problematic for patients with angina, a condition characterized by reduced blood flow to the heart. Vasoconstriction could potentially exacerbate this condition, leading to an increased risk of a heart attack. Therefore, the use of triptans may be contraindicated in patients with angina.

Choice B rationale
While asthma is a serious condition that requires careful management, it is not typically considered a contraindication for the use of triptans. Triptans work primarily on the blood vessels in the brain and do not typically interact with the bronchial tubes affected by asthma.
Choice C rationale
Age alone is not typically a contraindication for the use of triptans. However, older adults may have a higher risk of certain health conditions, such as heart disease, which could make the use of triptans more risky. It’s important for healthcare providers to consider the overall health status of the patient, not just their age, when deciding whether to prescribe triptans.
Choice D rationale
While stress can certainly exacerbate migraines, it is not typically a contraindication for the use of triptans. Triptans are designed to relieve the pain and other symptoms of migraines, regardless of their cause. If a patient’s migraines are triggered by stress, it may be beneficial to explore stress management techniques in addition to medication.

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Correct Answer is C

Explanation

Choice A rationale
While assessing visual acuity may be part of a comprehensive eye examination, it would not specifically address distortions noted on the Amsler grid.
Choice B rationale
Tonometry testing is used to measure the pressure inside the eye and is typically used in the diagnosis of glaucoma. It would not specifically address distortions noted on the Amsler grid.
Choice C rationale
Distortions when looking at the Amsler grid can be a sign of macular degeneration16. Therefore, arranging for the client to be assessed for macular degeneration would be the appropriate action16.
Choice D rationale
While age-related changes in vision can occur, distortions when looking at the Amsler grid are not typically considered a normal age-related change16. Therefore, reassuring the client that this is an age-related change in vision would not be the appropriate action16.

A. Red meat B. Frozen yogurt C. Canned soup D. Shellfish

Correct Answer is C

Explanation

Choice C rationale
Patients with Ménière’s disease are often advised to limit or avoid foods high in sodium, such as canned soup. High sodium intake can increase fluid retention, which can exacerbate the symptoms of Ménière’s disease, such as vertigo, tinnitus, and hearing loss.
Choice A rationale
There is no specific recommendation for patients with Ménière’s disease to limit or avoid red meat. However, a balanced diet that includes lean proteins is generally recommended for overall health.
Choice B rationale
Frozen yogurt is not specifically contraindicated for patients with Ménière’s disease. However, patients should be mindful of the sugar content, as high sugar intake can potentially trigger symptoms.

Choice D rationale
Shellfish is not specifically contraindicated for patients with Ménière’s disease. However, patients should be mindful of the preparation method and any added sodium, which can exacerbate symptoms.

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A nurse is caring for a patient with a recent history of migraines. What aspect of this patient’s current status may contraindicate the safe use of triptans?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has informed the Home Health Nurse that they recently noticed distortions when looking at the Amsler grid kept on their refrigerator. What is the appropriate action for the nurse to take?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a patient with a recent history of migraines.
What aspect of this patient’s current status may contraindicate the safe use of triptans?