The nurse receives an order for a triptan for a patient diagnosed with a cluster headache.
What drug should be indicated for this purpose?

Choice A rationale

Monitoring the weekly pulse is not sufficient for managing ventricular arrhythmias at home. Continuous or daily monitoring of vital parameters is more effective.

Choice B rationale

Monitoring daily fluid intake is essential for overall health but not directly related to the management of ventricular arrhythmias with propranolol (Inderal).

Choice C rationale

Daily blood pressure monitoring is crucial for patients on propranolol, as this medication can significantly lower blood pressure, and tracking it helps prevent hypotension.

Choice D rationale

Weekly weight monitoring is important for patients with heart conditions, but daily monitoring of blood pressure is more directly related to the management of ventricular arrhythmias with propranolol.

Choice A rationale

Asking the patient what time of day the medication is taken can help identify if taking it at a different time might alleviate sleep disturbances. SSRIs like sertraline can cause insomnia if taken later in the day.

Choice B rationale

Recommending a weekly dosage is inappropriate and could potentially disrupt the therapeutic effect. SSRIs should be taken daily, as prescribed.

Choice C rationale

Counseling the patient to take the medication at bedtime could worsen sleep disturbances, as sertraline may cause insomnia in some individuals. Timing should be adjusted based on patient response.

Choice D rationale

Suggesting a lower dose without consulting the provider may not address the issue effectively and could reduce the efficacy of the medication. Dosage adjustments should be made based on clinical assessment and provider recommendation.