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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason:

Oxygen saturation of 95% is within the normal range (typically 95-100%) and does not indicate a need to withhold atenolol. Atenolol is a beta-blocker used to manage hypertension and other cardiovascular conditions, and normal oxygen saturation levels do not contraindicate its use.

Choice B reason:

A respiratory rate of 18 breaths per minute is also within the normal range for adults (12-20 breaths per minute) and does not provide a reason to withhold atenolol. Respiratory rate is not directly affected by atenolol, and normal respiratory function supports the safe administration of the medication.

Choice C reason:

A blood pressure reading of 160/94 mm Hg indicates hypertension, which is one of the conditions atenolol is prescribed to treat. Therefore, this finding would not prompt the nurse to withhold the medication. Atenolol helps to lower blood pressure by reducing the heart rate and the force of contraction.

Choice D reason:

A heart rate of 46 beats per minute is below the normal resting heart rate range for adults (60-100 beats per minute) and indicates bradycardia. Atenolol can further lower the heart rate, potentially leading to severe bradycardia, which can be dangerous. Therefore, a low heart rate is a contraindication for administering atenolol, and the nurse should withhold the medication and consult with the healthcare provider.

A. Breast enlargement B. Decreased alertness C. Bad breath D. Bleeding gums

Correct Answer is D

Explanation

Choice A reason:

Breast enlargement is not a known side effect of ginkgo biloba. This herbal supplement is primarily used for its potential benefits in improving cognitive function and circulation. There is no evidence to suggest that ginkgo biloba causes breast enlargement.

Choice B reason:

Decreased alertness is not typically associated with ginkgo biloba. In fact, ginkgo biloba is often taken to enhance cognitive function and alertness. It is believed to improve blood flow to the brain, which can help with memory and mental clarity.

Choice C reason:

Bad breath is not a common side effect of ginkgo biloba. While some herbal supplements can cause changes in breath odor, ginkgo biloba is not known to have this effect. Bad breath is more commonly associated with poor oral hygiene or certain foods.

Choice D reason:

Bleeding gums can be a side effect of ginkgo biloba. This supplement has blood-thinning properties, which can increase the risk of bleeding. People taking ginkgo biloba should be cautious if they are also taking other blood-thinning medications or have conditions that predispose them to bleeding.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication?

Correct Answer is D

Explanation

A nurse is teaching a client who reports taking ginkgo biloba to improve his memory and peripheral arterial disease from atherosclerosis. The nurse should include which of the following potential side effects?

Correct Answer is D

Explanation

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