For which client with severe migraine headaches would the nurse question an order for sumatriptan?
A 58-year-old client with gastrointestinal reflux disease
A 65-year-old client with mild emphysema
A 72-year-old client with hyperthyroidism
A 48-year-old client with hypertension
The Correct Answer is D
Choice A rationale: Gastrointestinal reflux disease is not typically a contraindication for sumatriptan.
Choice B rationale: Mild emphysema is not typically a contraindication for sumatriptan.
Choice C rationale: Hyperthyroidism is not typically a contraindication for sumatriptan.
Choice D rationale: Sumatriptan, a medication used for migraines, may elevate blood pressure, so it would be questionable for a client with hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: A client with nausea, vomiting, and abdominal pain may have gastroenteritis, food poisoning, or appendicitis, which are not directly related to the eyes.
Choice B rationale: A client with chest tightness and heartburn may have gastroesophageal reflux disease (GERD), angina, or myocardial infarction (MI), which are also not associated with the eyes.
Choice C rationale: A client with facial drooping and left-sided weakness may have a stroke, which is a medical emergency that requires immediate attention. An eye examination can help detect signs of stroke, such as pupil asymmetry, visual field defects, or eye movement abnormalities. A stroke can cause permanent brain damage or death if not treated promptly.
Choice D rationale: A client with fatigue, fever, and productive cough may have a respiratory infection, such as pneumonia or tuberculosis, which are unlikely to affect the eyes unless there is a systemic complication.
Correct Answer is A
Explanation
Choice A rationale: Smoking is a risk factor for osteoporosis as it can interfere with calcium absorption and decrease bone density.
Choice B rationale: Moderate alcohol consumption isn't a significant risk factor for osteoporosis.
Choice C rationale: Generally, having a larger body stature is not considered a significant risk factor for osteoporosis.
Choice D rationale: While fractures during childhood can affect bone health, they might not necessarily predict osteoporosis risk in adulthood.
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