A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

Indigestion

Weight gain

Persistent chest pain

Nausea

Answer and Explanation

The Correct Answer is C

A.   Indigestion is not a severe side effect, although it can be uncomfortable; it is not an indication to stop the medication.
B.   Weight gain is not a common or serious adverse effect of sumatriptan.
C.   Persistent chest pain is a serious adverse effect of sumatriptan, as it can indicate a cardiovascular event such as angina or a heart attack. The client should stop taking the medication and seek immediate medical attention.
D.   Nausea may occur with sumatriptan use but is not a serious adverse effect unless it is accompanied by other severe symptoms.

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Correct Answer is D

Explanation

A. Diarrhea is a known side effect of celecoxib but not typically a sign of a serious reaction.
B. Headache is a mild side effect that may occur with celecoxib use but is not a severe adverse reaction.
C. Nausea is a common side effect of many medications, including celecoxib, but is not a critical issue unless severe.
D. Chest pressure could indicate cardiovascular problems, which is a serious adverse effect of celecoxib and other COX-2 inhibitors. Clients should report this immediately, as it may indicate a risk for myocardial infarction or stroke.

A. "After taking this medication, you must lie down flat for at least 30 hours." B. "You should take this medication before going to bed after a large meal." C. "After taking this medication, you should sit up or ambulate for at least 30 minutes.” D. "You should chew on this medication and take it after breakfast"

Correct Answer is C

Explanation

A. After taking alendronate, clients should not lie down flat for at least 30 minutes to avoid esophageal irritation and potential damage.
B. Alendronate should be taken before breakfast, but the client should not lie down afterward. It should be taken on an empty stomach.
C. The correct instruction is to sit up or ambulate for at least 30 minutes after taking alendronate. This prevents esophageal irritation and ensures proper absorption.
D. Alendronate is typically taken whole with a full glass of water, not chewed, and should not be taken after meals.

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A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a prescription for celecoxib (Celebrex). The nurse tells the client to report which of the following adverse drug reactions?

Correct Answer is D

Explanation

A nurse is educating a client with a new prescription of alendronate (Fosamax) for osteoporosis. Which of the following statements should the nurse include in her patient's education about this medication?

Correct Answer is C

Explanation

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