A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?
Activate the patch 30 minutes after application.
Take this medication daily to prevent headaches.
Use contraception while taking this medication.
You can bathe with the patch in place.
The Correct Answer is C
Choice A reason: Activate the patch 30 minutes after application
This statement is incorrect. The transdermal sumatriptan patch should be activated immediately after application, not 30 minutes later. The patch uses a mild electrical current to deliver the medication through the skin, and delaying activation would reduce its effectiveness.
Choice B reason: Take this medication daily to prevent headaches
This statement is also incorrect. Sumatriptan is used to treat acute migraine attacks and is not intended for daily use to prevent headaches. It should be used only when a migraine begins. Daily use could lead to medication overuse headaches and other side effects.
Choice C reason: Use contraception while taking this medication
This statement is correct. Women of childbearing age should use contraception while taking sumatriptan because its safety during pregnancy has not been established. It is important to avoid potential risks to the fetus.
Choice D reason: You can bathe with the patch in place
This statement is correct. The transdermal sumatriptan patch is designed to stay in place during bathing, showering, or swimming. However, it is not the most critical piece of information compared to the need for contraception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Step 1: Determine the total daily dose of vancomycin.
- Total daily dose = 50 mg
Step 2: Divide the total daily dose into four equal doses.
- Each dose = 50 mg ÷ 4
- Each dose = 12.5 mg
Step 3: Determine the amount of vancomycin available per capsule.
- Each capsule = 125 mg
Step 4: Calculate the number of capsules needed for each dose.
- Number of capsules per dose = 12.5 mg ÷ 125 mg
- Number of capsules per dose = (12.5 ÷ 125)
- Number of capsules per dose = 0.1
Step 5: Round the answer to the nearest whole number.
- Rounded number of capsules per dose = 0.1 (rounded to 0)
Since 0 capsules is not practical, the nurse should administer 1 capsule per dose to ensure the patient receives the medication.
So, the nurse should administer 1 tabletwith each dose.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: Applying restraints if the client becomes agitated should be done with caution and only as a last resort. Restraints can increase the risk of injury and should be used according to hospital policy and only when absolutely necessary. Alternative methods to calm the client should be explored first.
Choice B reason: Administering pantoprazole as prescribed is important to prevent stress ulcers and gastrointestinal bleeding, which are common complications in clients receiving mechanical ventilation. Pantoprazole is a proton pump inhibitor that reduces stomach acid production.
Choice C reason: Verifying the prescribed ventilator settings daily is crucial to ensure the client is receiving the correct ventilation support. Regular checks help identify any discrepancies or changes in the client’s condition that may require adjustments to the ventilator settings.
Choice D reason: Elevating the head of the bed to at least 30 degrees helps prevent ventilator-associated pneumonia (VAP) by reducing the risk of aspiration. This position also aids in lung expansion and improves oxygenation.
Choice E reason: Repositioning the endotracheal tube to the opposite side of the mouth daily helps prevent pressure ulcers and sores in the mouth. Regular repositioning reduces the risk of tissue damage and infection.
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