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","C","D"]

Explanation

A. Ginger is known to increase the risk of bleeding when taken with NSAIDs like aspirin because it has anticoagulant properties that can enhance the bleeding effects.
B. Vitamin D does not have an effect on bleeding and is not associated with an increased risk when taken with NSAIDs.
C. Feverfew also has anticoagulant effects and can increase the risk of bleeding, especially when combined with NSAIDs.
D. Garlic has natural blood-thinning properties and can increase the risk of bleeding, particularly when combined with NSAIDs.

A. A decrease in urinary urgency, frequency, nocturia, and urge incontinence, B. An absence of muscle rigidity and spasms with a good range of motion. C. Physical dependence from chronic long-term use D. No spontaneous respiratory movements in the clients caving mechanical ventilation

Correct Answer is B

Explanation

A. Urinary symptoms such as urgency and frequency are not related to the therapeutic effects of cyclobenzaprine.
B. Cyclobenzaprine is a muscle relaxant, and its effectiveness is indicated by a reduction in muscle rigidity and spasms, along with improved range of motion.
C. Physical dependence is not a goal of treatment with cyclobenzaprine. The effectiveness of the medication should be measured by symptom relief, not dependence.
D. Cyclobenzaprine does not affect respiratory function, so the absence of spontaneous respiratory movements in mechanically ventilated clients is unrelated to the medication's action.

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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 interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is evaluating the effectiveness of a medication for a client taking cyclobenzaprine (Flexeril). Which of the following statements indicate that the medication is effective for the client?

Correct Answer is B

Explanation

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?

A nurse is teaching a client about a new prescription for Ibuprofen (Motrin) Which of the following information should the nurse include in the teaching?

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

A nurse is preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. Which of the route should the nurse NOT administer this medication?

A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?

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.).