A nurse is caring for a client who is postpartum and has a migraine headache. The client has a prescription for ergotamine 2 mg sublingual PRN headache. Which of the following routes of administration should the nurse use?
Under the tongue
Vaginal
Topical
Subcutaneous
The Correct Answer is A
A) Under the tongue: Ergotamine is prescribed for sublingual administration, which means the medication should be placed under the tongue for absorption. Sublingual administration allows the medication to be absorbed directly into the bloodstream through the mucous membranes, bypassing the gastrointestinal system and providing a quicker onset of action.
B) Vaginal: Vaginal administration is not indicated for ergotamine, as this is not a typical route for the medication. Ergotamine is commonly used via sublingual, oral, or rectal routes for migraine treatment, but not vaginally.
C) Topical: Ergotamine is not typically administered topically. The medication is designed for sublingual or oral use, so applying it topically would not provide the intended therapeutic effects for treating a migraine.
D) Subcutaneous: While some medications are administered subcutaneously (under the skin), ergotamine is not commonly given via this route. The prescribed route is sublingual, and administering it subcutaneously would not align with the prescription and could potentially lead to improper absorption and reduced effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2500"]
Explanation
The problem: Administer 2.5 L of lactated Ringer's solution.
1 liter (L) = 1000 milliliters (mL).
To convert 2.5 L to mL, we multiply:
2.5 L x 1000 mL/L = 2500 mL
Correct Answer is B
Explanation
A) Offer the medication now to prevent saturation of the perineal pad: The prescription specifies administering oxytocin only if the client saturates the perineal pad within 15 minutes. Offering the medication proactively without evidence of excessive bleeding would not be appropriate. Oxytocin should be given in response to the situation described in the prescription, not as a preventive measure.
B) Administer the medication once if the client saturates the perineal pad within 15 min: This is the correct interpretation of the prescription. The prescription clearly states that oxytocin 10 units IM is to be given once if the perineal pad is saturated within 15 minutes. The medication is prescribed to control postpartum bleeding, and the nurse should administer it only if there is evidence of excessive bleeding, as indicated by the saturated pad.
C) Give the medication each time the client saturates the perineal pad within 15 min: The prescription only calls for a single dose of oxytocin 10 units IM, not repeated doses. The nurse should administer the medication only once if the perineal pad is saturated in 15 minutes, not repeatedly every time this occurs.
D) Wait 15 min to administer the medication after the client saturates a perineal pad: There is no instruction in the prescription to delay administration for 15 minutes after the perineal pad is saturated. The prescription specifies that the medication should be administered if the pad is saturated within 15 minutes, so waiting would be inappropriate
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