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 A

Explanation

A. Dantrolene (Dantrium) is used to treat malignant hyperthermia, a life-threatening condition triggered by certain anesthetic agents. It works by inhibiting calcium release from the sarcoplasmic reticulum in muscle cells, reducing muscle rigidity and preventing further complications.
B. Dantrolene is not used for treating status epilepticus; other medications such as benzodiazepines are used for that purpose.
C. Dantrolene is not used for overactive bladder; medications like anticholinergics or beta-3 agonists are typically prescribed for this condition.
D. While dantrolene can relieve muscle spasms, it is primarily used for conditions like malignant hyperthermia and spasticity from conditions like cerebral palsy or spinal cord injury, rather than just for muscle injury.

A. Petechiae B. Osteoporosis C. Pneumonia D. Diaphoresis

Correct Answer is A

Explanation

A. Petechiae is an early sign of acetaminophen toxicity. It indicates a potential bleeding disorder due to liver damage, which can occur from prolonged or high-dose use of acetaminophen.
B. Osteoporosis is not a symptom of acetaminophen toxicity.
C. Pneumonia is unrelated to acetaminophen toxicity and is more likely to occur due to infections.
D. Diaphoresis (sweating) is not a primary early symptom of acetaminophen toxicity, although it could occur in later stages of liver failure.

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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 educating a client about dantrolene (Dantrium). Which of the following statements indicate the appropriate therapeutic use of this medication?

Correct Answer is A

Explanation

A nurse is caring for a client who is taking acetaminophen (Tylenol) at regular intervals for mild pain. The nurse should tell the client to report which of the following early manifestations of acetaminophen toxicity?

Correct Answer is A

Explanation

A client has a new prescription for cyclobenzaprine (Flexeril). Which of the following statements should the nurse include as a therapeutic indication for this medication?

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A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

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